Individual provider Active NPI

Amador Flores Jr., O.D.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1851390736
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5120TG Issued in TX
Practice address
6801 McPherson Ave
Ste. 111
Laredo, TX 78041-6402
Phone
(956) 753-7373
Fax
(956) 753-7371
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5120TG TX Primary

Addresses

Primary practice location

6801 McPherson Ave
Ste. 111
Laredo, TX 78041-6402

Mailing address

2329 Jacaman Rd
Ste 15
Laredo, TX 78041-6264
Phone (956) 753-7373

Other identifiers 1

IdentifierTypeStateIssuer
019080302MedicaidTX

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
I20080604000774 TX Practitioner - Optometry 3274603006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flores Eye Care Clinic, PCGroup PAC ID 2365512274, 3 clinicians

Practice addresses (Care Compare)

2329 Jacaman Rd
Suite 15
Laredo, TX 78041-6264
Phone (956) 753-7373

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5120TXMDMarriage & Family Therapist
5120TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Flores Eye Care Clinic, PC Optometrist CurrentSince May 1, 2008 Accepting new patients
Timithy M Dunham MD PA Optometrist PastSince May 1, 2008 Accepting new patients

Locations

2329 Jacaman Rd
Ste 15
Laredo, TX 78041
Phone (956) 286-5410

6801 McPherson Rd
Ste 111
Laredo, TX 78041
Phone (956) 462-1696

Interoperability endpoints

  • Direct secure messaging: aflores@floreseyecare.eyefinity-direct.com

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1851390736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 JACAMAN RD",
            "address_2": "STE 15",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416264",
            "telephone_number": "956-753-7373",
            "fax_number": "956-753-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON AVE",
            "address_2": "STE. 111",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416402",
            "telephone_number": "956-753-7373",
            "fax_number": "956-753-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "AMADOR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5120TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019080302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.