Active NPI
Claudia M Medina, O.D.
- Optometrist
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6617TG
- Practice address
- 505 S Broadway St
McAllen, TX 78501-4903 - Phone
- (956) 682-2141
- Fax
- (956) 682-2142
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6617TG | TX | Primary |
Addresses
Primary practice location
505 S Broadway St
McAllen, TX 78501-4903
Mailing address
505 S Broadway St
McAllen, TX 78501-4903
Phone (956) 682-2141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169533001 | Medicaid | TX |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2506 E Richardson Rd
Hammond Vision Center
Edinburg, TX 78542-0415
Phone (956) 720-4000
505 S Broadway St
McAllen, TX 78501-4903
Phone (956) 682-2141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6617TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina Vision Care PLLC | Optometrist | Current | Accepting new patients |
| Ana L Salinas | Optometrist | Past | Accepting new patients |
| Emma E. Gonzalez OD PLLC | Optometrist | Past | Accepting new patients |
Locations
2506 E Richardson Rd
Edinburg, TX 78542
Phone (956) 655-0012
505 S Broadway St
McAllen, TX 78501
Phone (956) 682-2141
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- McAllen, TX
- NPI 1295172534
-
- Optometrist
- McAllen, TX
- NPI 1568515179
-
- Optometrist
- Edinburg, TX
- NPI 1093005910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1790838969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S BROADWAY ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014903",
"telephone_number": "956-682-2141",
"fax_number": "956-682-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S BROADWAY ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014903",
"telephone_number": "956-682-2141",
"fax_number": "956-682-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CLAUDIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6617TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169533001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.