Active NPI
Enrique Atuesta, OPTICIAN
- Optician
- Houston, TX
National Provider Identifier
1699936286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DR0773
- Practice address
- 5739 Bellaire Blvd
Houston, TX 77081-5505 - Phone
- (713) 668-1307
- Fax
- (713) 668-0110
- NPI assigned
- Jun 17, 2008
- Last updated
- Jun 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DR0773 | TX | Primary |
Addresses
Primary practice location
5739 Bellaire Blvd
Houston, TX 77081-5505
Mailing address
5739 Bellaire Blvd
Houston, TX 77081-5505
Phone (713) 668-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020137801 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0773 | TX | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1699936286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5739 BELLAIRE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770815505",
"telephone_number": "713-668-1307",
"fax_number": "713-668-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5739 BELLAIRE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770815505",
"telephone_number": "713-668-1307",
"fax_number": "713-668-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATUESTA",
"first_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "DR0773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020137801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.