Southwest Texas Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

F7109 Issued in TX

Legal business name

SOUTHWEST TEXAS OPTICAL

Practice address

708 S Bibb Ave Ste B
Eagle Pass, TX 78852-5069

Phone

(830) 773-7339

Fax

(830) 773-4618

NPI assigned

Oct 13, 2006

Last updated

Aug 30, 2011By 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. Carlos E Rodriguez, M.D.

Title

Ceo

Phone

(830) 773-7339

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1790875623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE STE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE STE B",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TEXAS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-773-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "F7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066478101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Provider Agency LLC
• South Texas Regional Laboratories Inc
• South Texas Rural Health Services
• South Texas Sleep Services, L.L.C. (Fort Duncan Sleep Center)
• Southwest Abilene Rehab, PA (South Texas Spine and Rehab)
• St. Isabel Home Health Incorporation
• Superior Home Health of Eagle Pass, LLC
• Superior Plus Ambulance LLC
• Sylvia Juniette Salazar (Starlight Home and Community Services)
• Chris Jay Jalando-on Tabarejo, R.P.T.

• Durable Medical Equipment & Medical Supplies in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.