Individual provider Active NPI

Sonia Milena Fernandez, OD

  • Optometrist
  • Edinburg, TX
National Provider Identifier
1730343534
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8112T Issued in TX
Practice address
2518 W Trenton Rd
Edinburg, TX 78539-8070
Phone
(956) 661-9000
Fax
(956) 686-7833
NPI assigned
Jul 11, 2008
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13919 CA
Optometrist 152W00000X 8112T TX Primary
Optometrist 152W00000X OPC4315 FL

Addresses

Primary practice location

2518 W Trenton Rd
Edinburg, TX 78539-8070

Mailing address

PO Box 2706
McAllen, TX 78502-2706
Phone (956) 661-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20181113000269 DE Practitioner - Optometry 2264598887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13919CAMDOptometrist
8112TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Aug 22, 2018 Accepting new patients
Eye Associates of Bucks County PastSince Sep 10, 2012 Accepting new patients
William Justus Head MD PA Past Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

Organizations & group practices 3

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1730343534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2706",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022706",
            "telephone_number": "956-661-9000",
            "fax_number": "956-686-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398070",
            "telephone_number": "956-661-9000",
            "fax_number": "956-686-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SONIA",
        "middle_name": "MILENA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13919",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8112T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.