Kassandra Nicole Pena-Benavides, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9948TG Issued in TX

Practice address

5702 McPherson Rd Ste 21
Laredo, TX 78041-6884

Phone

(956) 791-5967

NPI assigned

Jun 22, 2020

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul Tran OD, PAGroup PAC ID 8820284151, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paul Tran OD, PA

  dba Tran Vision Center

  • Optometrist
  • Laredo, TX
  • NPI 1205136678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1881210367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON RD APT 4705",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456652",
            "telephone_number": "956-763-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 MCPHERSON RD STE 21",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416884",
            "telephone_number": "956-791-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-BENAVIDES",
        "first_name": "KASSANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9948TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana M Pedraza, OTR
• Jorge Alberto Pedraza Jr.
• Mayra A Pedraza
• Carolina Pellum
• Miriam Elisabeth Pelto
• Adriana Elizabeth Pena
• Alexis Lezette Pena
• Diana M. Pena, D.D.S.
• Elizabeth Pena, MS, CF
• Felix Francisco Pena, FNP

• Optometrist in Laredo, TX
• Providers in Laredo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.