Individual provider Active NPI

Liliana Cervantes Karim, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1851350789
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6503TG Issued in TX
Practice address
1810 Wirt Rd
Houston, TX 77055-2407
Phone
(713) 290-9900
Fax
(713) 290-9932
NPI assigned
Mar 20, 2006
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6503TG TX Primary

Addresses

Primary practice location

1810 Wirt Rd
Houston, TX 77055-2407

Mailing address

1810 Wirt Rd
Houston, TX 77055-2407
Phone (713) 290-9900

Other identifiers 1

IdentifierTypeStateIssuer
163498201MedicaidTX

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
I20040216000179 TX Practitioner - Optometry 8426942921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1810 Wirt Rd
Houston, TX 77055-2407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6503TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Eye Care Center LLC Optometrist CurrentSince Oct 21, 2003 Accepting new patients

Locations

1802 Wirt Rd
Ste B
Houston, TX 77055
Phone (713) 290-9900

1810 Wirt Rd
Houston, TX 77055
Phone (713) 290-9900

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, 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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1851350789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552407",
            "telephone_number": "713-290-9900",
            "fax_number": "713-290-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552407",
            "telephone_number": "713-290-9900",
            "fax_number": "713-290-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES KARIM",
        "first_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6503TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163498201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.