Individual provider Active NPI

Marina Tijerina Villalobos, O.D.

  • Optometrist
  • McAllen, TX
National Provider Identifier
1881812717
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06342TG Issued in TX
Practice address
701 Yucca Ave
McAllen, TX 78504-2851
Phone
(956) 330-5792
NPI assigned
Apr 23, 2007
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 06342TG TX Primary

Addresses

Primary practice location

701 Yucca Ave
McAllen, TX 78504-2851

Mailing address

701 Yucca Ave
McAllen, TX 78504-2851
Phone (956) 330-5792

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
I20070828000930 TX Practitioner - Optometry 2860584307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 E Ferguson
Pharr, TX 78577-2651
Phone (956) 782-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06342TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Eye Care, PLLC Optometrist CurrentSince Aug 5, 2007 Accepting new patients

Locations

1001 E Ferguson St
Pharr, TX 78577
Phone (956) 782-9444

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1881812717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 YUCCA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042851",
            "telephone_number": "956-330-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 YUCCA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042851",
            "telephone_number": "956-330-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "MARINA",
        "middle_name": "TIJERINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06342TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.