Organization Active NPI

DJMJ PLLC

Doing business as The Eye Care Center

  • Optometrist
  • Mercedes, TX
National Provider Identifier
1740424266
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5142TG Issued in TX
Legal business name
DJMJ PLLC
Doing business as
The Eye Care Center
Practice address
325 W 3Rd St
Mercedes, TX 78570-3105
Phone
(956) 514-0559
NPI assigned
Apr 28, 2009
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Lora Nadine Martinez, ODNPI 1770696593
Title
Optometrist/President
Phone
(956) 514-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5142TG TX Primary

Addresses

Primary practice location

325 W 3Rd St
Mercedes, TX 78570-3105

Mailing address

325 W 3Rd St
Mercedes, TX 78570-3105
Phone (956) 514-0559

Other identifiers 1

IdentifierTypeStateIssuer
019592701MedicaidTX

Other names 1

  • The Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000473 TX Part B Supplier - Clinic/Group Practice 4284783507 Receives reassigned benefits from 1 practitioner
Practice locations: Mercedes, TX

National Provider Directory

National Provider Directory

Locations

325 W 3rd St
Mercedes, TX 78570
Phone (956) 514-0559

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1740424266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 3RD ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785703105",
            "telephone_number": "956-514-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 3RD ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785703105",
            "telephone_number": "956-514-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJMJ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "NADINE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "956-514-0559",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5142TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019592701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercedes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.