Organization Active NPI

South Texas Eye Centers PA

Doing business as Ridgewood Optical

  • Eyewear Supplier
  • Brownsville, TX
National Provider Identifier
1770637803
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTH TEXAS EYE CENTERS PA
Doing business as
Ridgewood Optical
Practice address
847 Ridgewood St
Brownsville, TX 78520-8645
Phone
(956) 541-1013
Fax
(956) 541-5440
NPI assigned
Jan 23, 2007
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Eric R Barron, M.D.NPI 1417932187
Title
President
Phone
(956) 541-1013

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
Eyewear Supplier 332H00000X TX Primary

Addresses

Primary practice location

847 Ridgewood St
Brownsville, TX 78520-8645

Mailing address

847 Ridgewood St
Brownsville, TX 78520-8645
Phone (956) 541-1013

Other identifiers 1

IdentifierTypeStateIssuer
084100902MedicaidTX

Other names 1

  • Ridgewood Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072053 TX DME Supplier - Physician - Ophthalmology 1456363365 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brownsville, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

847 Ridgewood St
Brownsville, TX 78520
Phone (956) 541-1013

Practitioners & affiliated clinicians

Practitioners 9

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1770637803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS EYE CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-541-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084100902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.