Individual provider Active NPI

Mayra Ivette Latoni, O.D.

  • Corneal and Contact Management Optometrist
  • Del Rio, TX
National Provider Identifier
1699984575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3963T Issued in TX
Practice address
610 N Bedell Ave
Del Rio, TX 78840-4109
Phone
(830) 774-3333
Fax
(830) 775-3333
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3963T TX Primary

Addresses

Primary practice location

610 N Bedell Ave
Del Rio, TX 78840-4109

Mailing address

610 N Bedell Ave
Del Rio, TX 78840-4109
Phone (830) 774-3333

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

LicenseStateTypeSpecialty
3963TTXMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699984575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404109",
            "telephone_number": "830-774-3333",
            "fax_number": "830-775-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404109",
            "telephone_number": "830-774-3333",
            "fax_number": "830-775-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONI",
        "first_name": "MAYRA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3963T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, 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.

Verify at the official NPI Registry.