Individual provider Active NPI

Kierrah Marie Llanos, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1821985755
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111452 Issued in TX
Practice address
3800 N Mesa St Ste B1
El Paso, TX 79902-1535
Phone
(915) 533-1811
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 111452 TX Primary

Addresses

Primary practice location

3800 N Mesa St Ste B1
El Paso, TX 79902-1535

Mailing address

3800 N Mesa St Ste B1
El Paso, TX 79902-1535
Phone (915) 533-1811

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030004799 TX Practitioner - Optometry 8426547282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair and Ellis P.a.Group PAC ID 9739394891, 6 clinicians

Practice addresses (Care Compare)

3800 N Mesa St
Suite B1
El Paso, TX 79902-1535
Phone (915) 533-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111452TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blair and Ellis P.a. Optometrist CurrentSince Oct 1, 2025 Accepting new patients

Locations

3800 N Mesa St
Ste B1
El Paso, TX 79902
Phone (915) 533-1811

11365 Montwood Dr
Ste D
El Paso, TX 79936
Phone (915) 533-1811

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1821985755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021535",
            "telephone_number": "915-533-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST STE B1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021535",
            "telephone_number": "915-533-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANOS",
        "first_name": "KIERRAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "111452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.