Individual provider Active NPI

Arlene Danielle Canales, O.D.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1770777922
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7083T Issued in TX
Practice address
8607 McPherson Rd
Suite 102
Laredo, TX 78045-6382
Phone
(956) 753-0202
Fax
(956) 753-0204
NPI assigned
Aug 30, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7083T TX Primary

Addresses

Primary practice location

8607 McPherson Rd
Suite 102
Laredo, TX 78045-6382

Mailing address

8607 McPherson Rd
Suite 102
Laredo, TX 78045-6382
Phone (956) 753-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7083TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Eye Center, P.a. Optometrist PastSince Jul 1, 2006 Accepting new patients
Ioptical, LLC Past Accepting new patients

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1770777922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 MCPHERSON RD",
            "address_2": "SUITE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456382",
            "telephone_number": "956-753-0202",
            "fax_number": "956-753-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 MCPHERSON RD",
            "address_2": "SUITE 102",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456382",
            "telephone_number": "956-753-0202",
            "fax_number": "956-753-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "ARLENE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7083T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.