Active NPI
Mario Raymundo Barrera, OD
- Optometrist
- Laredo, TX
National Provider Identifier
1679616239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3010T
- Practice address
- 7309 San Dario Ave
Suite 102
Laredo, TX 78045-7297 - Phone
- (956) 724-3242
- Fax
- (956) 724-4112
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3010T | TX | Primary |
Addresses
Primary practice location
7309 San Dario Ave
Suite 102
Laredo, TX 78045-7297
Mailing address
7309 San Dario Ave
Suite 102
Laredo, TX 78045-7297
Phone (956) 724-3242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010 | TX | MD | Marriage & Family Therapist |
| 3010T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrera Optical Inc | Past | Accepting new patients | |
| Monty Banks OD PA | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optician
- Laredo, TX
- NPI 1467595033
-
- Optometrist
- Stephenville, TX
- NPI 1932343167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679616239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 SAN DARIO AVE",
"address_2": "SUITE 102",
"city": "LAREDO",
"state": "TX",
"postal_code": "780457297",
"telephone_number": "956-724-3242",
"fax_number": "956-724-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 SAN DARIO AVE",
"address_2": "SUITE 102",
"city": "LAREDO",
"state": "TX",
"postal_code": "780457297",
"telephone_number": "956-724-3242",
"fax_number": "956-724-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "MARIO",
"middle_name": "RAYMUNDO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3010T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.