Individual provider Active NPI

Adriana Guardiola, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1669213195
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11122 Issued in TX
Practice address
1201 Summit Ave
Fort Worth, TX 76102-4413
Phone
(817) 322-2020
NPI assigned
Jun 6, 2024
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11122 TX Primary

Addresses

Primary practice location

1201 Summit Ave
Fort Worth, TX 76102-4413

Mailing address

1201 Summit Ave
Fort Worth, TX 76102-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625002406 TX Practitioner - Optometry 4486197951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Partners , PAGroup PAC ID 4587578364, 14 clinicians

Practice addresses (Care Compare)

804 Santa Fe Dr
Weatherford, TX 76086-6525
Phone (817) 341-5609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11122TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners , PA CurrentSince Aug 5, 2024 Accepting new patients
Ophthalmic Partners, PA CurrentSince Aug 5, 2024 Accepting new patients

Locations

5801 Oakbend Trl
Ste 100
Fort Worth, TX 76132
Phone (817) 346-2969

1201 Summit Ave
Ft Worth, TX 76102
Phone (817) 332-2020

804 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 341-5609

Interoperability endpoints

  • Direct secure messaging: aguardiola@oafwtx.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1669213195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024413",
            "telephone_number": "817-322-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIOLA",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.