Organization Active NPI

David Saul Mora O.D, PH.D , P.C.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1821210170
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3202TG Issued in TX
Legal business name
DAVID SAUL MORA O.D, PH.D , P.C.
Practice address
1601 Corpus Christi St
Laredo, TX 78043-3302
Phone
(956) 726-1007
Fax
(956) 726-1317
NPI assigned
May 3, 2007
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. David Saul Mora, O.D.NPI 1255305256
Title
Owner , Optometrist
Phone
(956) 726-1007

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
Optometrist 152W00000X 3202TG TX Primary

Addresses

Primary practice location

1601 Corpus Christi St
Laredo, TX 78043-3302

Mailing address

1601 Corpus Christi St
Laredo, TX 78043-3302
Phone (956) 726-1007

Other identifiers 2

IdentifierTypeStateIssuer
019286601MedicaidTX
CD0484OtherTXRAILROAD GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050927001438 TX Part B Supplier - Clinic/Group Practice 1355376534 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX
O20100930054157 TX DME Supplier - Physician - Optometrist 1355376534 Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
David Saul Mora O.D, PH.D , P.C.1601 Corpus Christi St, Laredo, TX 78043-3302(956) 726-1007 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 10, 1995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1821210170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433302",
            "telephone_number": "956-726-1007",
            "fax_number": "956-726-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780433302",
            "telephone_number": "956-726-1007",
            "fax_number": "956-726-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SAUL MORA O.D, PH.D , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "OWNER , OPTOMETRIST",
        "authorized_official_telephone_number": "956-726-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3202TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019286601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP  ID",
            "identifier": "CD0484",
            "state": "TX"
        }
    ],
    "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 Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.