RGV Optical Images, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

RGV OPTICAL IMAGES, LLC

Practice address

1331 E 6TH St
Weslaco, TX 78596-6601

Phone

(956) 423-4333

Fax

(956) 682-6280

NPI assigned

May 15, 2007

Last updated

Oct 25, 2016By 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. Victor Hugo Gonzalez, M.D.

Title

President

Phone

(956) 423-2100

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• RGV Optical Images LLC

  • Eyewear Supplier
  • Falfurrias, TX
  • NPI 1205383957

  7416152947

  Same PAC ID
• RGV Optical Images LLC

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1508668443

  7416152947

  Same PAC ID
• RGV Optical Images LLC

  • Durable Medical Equipment & Medical Supplies
  • Harlingen, TX
  • NPI 1538613294

  7416152947

  Same PAC ID
• RGV Optical Images LLC

  • Durable Medical Equipment & Medical Supplies
  • Harlingen, TX
  • NPI 1659821486

  7416152947

  Same PAC ID
• RGV Optical Images LLC

  • Eyewear Supplier
  • Laredo, TX
  • NPI 1790361822

  7416152947

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• RGV Optical Images LLC

  • Durable Medical Equipment & Medical Supplies
  • Harlingen, TX
  • NPI 1538613294

  O20100930004666

  Same enrollment
• RGV Optical Images LLC

  • Durable Medical Equipment & Medical Supplies
  • Harlingen, TX
  • NPI 1659821486

  O20111018000687

  Same enrollment

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1861608028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4830",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404830",
            "telephone_number": "956-423-2100",
            "fax_number": "956-664-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966601",
            "telephone_number": "956-423-4333",
            "fax_number": "956-682-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV OPTICAL IMAGES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-423-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "J6115",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193766601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "285048902",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193766602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285048901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CSN",
            "identifier": "285048903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RGV Allied Health Group, LLC. (PSJA Medical Clinic)
• RGV Center for Obesity and Metabolic Health PLLC
• RGV Direct Care PLLC
• RGV Family Dentistry by Luz E Martinez DDS PLLC
• RGV Liver Institute PLLC
• RGV Psychiatry, PLLC
• RGV Surgical Assisting, Inc.
• RGV Vascular & Vein Institute PLLC (RGV Vvi at Weslaco)
• RGV Vax, LLC
• RGV Vision Care LLC

• Eyewear Supplier in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.