Individual provider Active NPI

Carlos W Vazquez, MD

  • Ophthalmology Physician
  • El Paso, TX
National Provider Identifier
1750486502
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K6392 Issued in TX
Practice address
1240 Lomaland Dr
El Paso, TX 79907-1405
Phone
(915) 591-4441
Fax
(915) 591-0142
NPI assigned
Sep 14, 2006
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K6392 TX Primary

Addresses

Primary practice location

1240 Lomaland Dr
El Paso, TX 79907-1405

Mailing address

1240 Lomaland Dr
El Paso, TX 79907-1405
Phone (915) 591-4441

Other identifiers 1

IdentifierTypeStateIssuer
042237001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000750 TX Practitioner - Ophthalmology 6406924232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David S. Doka M.D. P.a.Group PAC ID 7113091844, 5 clinicians

Practice addresses (Care Compare)

1240 Lomaland Dr
El Paso, TX 79907-1405
Phone (915) 591-4441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Doka M.D. P.a. CurrentSince Aug 1, 1998 Accepting new patients
David S. Doka M.D. P.a. Ophthalmology CurrentSince Aug 1, 1998 Accepting new patients

Locations

1240 Lomaland Dr
El Paso, TX 79907
Phone (915) 591-4441

Interoperability endpoints

  • Direct secure messaging: carlos.vazquez@direct.myhealthep.org

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, 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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1750486502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071405",
            "telephone_number": "915-591-4441",
            "fax_number": "915-591-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799071405",
            "telephone_number": "915-591-4441",
            "fax_number": "915-591-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CARLOS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K6392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042237001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.