Individual provider Active NPI

Mark Quinones, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1669895215
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8350 Issued in TX
Practice address
7007 North Fwy Ste 125
Houston, TX 77076-1326
Phone
(713) 697-7500
Fax
(713) 697-7502
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8350 TX Primary

Addresses

Primary practice location

7007 North Fwy Ste 125
Houston, TX 77076-1326

Mailing address

7007 North Fwy Ste 125
Houston, TX 77076-1326
Phone (713) 697-7500

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
I20140602000611 TX Practitioner - Optometry 0244453785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Vista Eyecare Optometrist CurrentSince Mar 19, 2024 Accepting new patients

Locations

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1669895215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761326",
            "telephone_number": "713-697-7500",
            "fax_number": "713-697-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761326",
            "telephone_number": "713-697-7500",
            "fax_number": "713-697-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.