Mario A Caballero, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4921TG Issued in TX

Practice address

10952 Ben Crenshaw Dr
Suite a
El Paso, TX 79935-3043

Phone

(915) 592-8090

Fax

(915) 592-9284

NPI assigned

Apr 3, 2006

Last updated

Jan 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Marc Ellman, M.D., P.a.

  dba Southwest Eye Institute

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1053530907
  Medicare reassignment Care Compare group NPD
• Mario a. Caballero OD PC

  dba Eastside Vision Center

  • Corneal and Contact Management Optometrist
  • El Paso, TX
  • NPI 1114178316
  Medicare reassignment NPD Authorized official
• Eastside Eye Associates, P.a.

  dba Eastside Eye Associates

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1598082232
  NPD Authorized official
• Opportunities Acm, P.C.

  dba Freedom Optometry

  • Optometrist
  • El Paso, TX
  • NPI 1619280427
  Authorized official Same address or phone

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1760444293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10952 BEN CRENSHAW DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353043",
            "telephone_number": "915-592-8090",
            "fax_number": "915-592-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10952 BEN CRENSHAW DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353043",
            "telephone_number": "915-592-8090",
            "fax_number": "915-592-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4921TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Caballero, RD, LD
• Crystal Ann Caballero, M.A., SLP
• Cynthia Caballero
• Elias Caballero Jr.
• Maria Catalina Caballero
• Yuri Javier Caballero, MD
• Tex P Cabaniss, MD
• Estrella Cabda
• Alejandra Cabral, WHNP
• Jose Santiago Cabral, PTA

• Corneal and Contact Management Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.