Diaz Vision Center PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L3624 Issued in TX

Legal business name

DIAZ VISION CENTER PA

Practice address

124 E Bandera Rd
Suite 404
Boerne, TX 78006-2849

Phone

(830) 249-8400

Fax

(830) 249-8411

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Elvin Diaz, M.D.NPI 1093797011

Title

MD/Owner

Phone

(830) 249-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Elvin Diaz, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Deming, NM
  • NPI 1093797011
  NPD (past) Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1861672156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E BANDERA RD",
            "address_2": "SUITE 404",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062849",
            "telephone_number": "830-249-8400",
            "fax_number": "830-249-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E BANDERA RD",
            "address_2": "SUITE 404",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062849",
            "telephone_number": "830-249-8400",
            "fax_number": "830-249-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ VISION CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ELVIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "830-249-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L3624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colum Dell, RBT
• Juanita Demoor, SLP
• Alysha Lynn Dentler
• Thushan N Desilva, M.D.
• Tiffany Devlin, COTA
• Dicot RX 1 LLC
• Dilley Psychology Group, P.C.
• Carrie N. Dilley, PH.D.
• Joseph Brandon Dilley, PH.D.
• Dillon'S TLC

• Ophthalmology Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.