Eye Rise Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

7498 Issued in TX

Legal business name

EYE RISE CLINIC

Doing business as

Eye Rise Clinic

Practice address

6760 Westworth Blvd
Westworth Village, TX 76114-4002

Phone

(682) 430-1487

NPI assigned

Dec 12, 2012

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Henriquez, ODNPI 1063653756

Title

President

Phone

(787) 549-8025

Specialties & licenses 1

Addresses

Other names 1

• Eye Rise Clinic Doing business as

Locations

Practitioners 1

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.

• Jacqueline Henriquez, OD

  • Optometrist
  • Dorado, PR
  • NPI 1063653756
  Authorized official Same address or phone

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1750627188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 BRITTLEBUSH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761082388",
            "telephone_number": "682-430-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 WESTWORTH BLVD",
            "city": "WESTWORTH VILLAGE",
            "state": "TX",
            "postal_code": "761144002",
            "telephone_number": "682-430-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE RISE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-549-8025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Rise Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Seema Benipal
• Breathe Better, PLLC
• Pamela Branham Carlson, PT
• Emily Ann Dixon, PSY.D.
• Dr. Massala Reffell, O.D., PLLC (I)
• Jennifer Ferguson, CCC-SLP
• Kendall Frenkel, DNP, FNP-BC
• Laura Gallups
• Andzelika Gumieniak, DDS
• Kristy Renae Hawes, LMSW

• Optometrist in Westworth Village, TX
• Providers in Westworth Village, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.