Active NPI
Larry W Falknor, O.D.
- Optometrist
- El Paso, TX
National Provider Identifier
1891798534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02458TG
- Practice address
- 2222 Montana Ave
El Paso, TX 79903-3602 - Phone
- (915) 544-6700
- Fax
- (915) 544-6707
- NPI assigned
- May 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 02458TG | TX | |
| Optometrist | 152W00000X | 02458TG | TX | Primary |
Addresses
Primary practice location
2222 Montana Ave
El Paso, TX 79903-3602
Mailing address
PO Box 3835
El Paso, TX 79923-3835
Phone (915) 544-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093522303 | Medicaid | TX | |
| 80665Q | Other | TX | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02458TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
Locations
7410 Remcon Cir
Ste N
El Paso, TX 79912
2222 Montana Ave
El Paso, TX 79903
Phone (915) 544-6700
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
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.
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
- Optometrist
- Flower Mound, TX
- NPI 1740313089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1891798534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3835",
"city": "EL PASO",
"state": "TX",
"postal_code": "799233835",
"telephone_number": "915-544-6700",
"fax_number": "915-544-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 MONTANA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033602",
"telephone_number": "915-544-6700",
"fax_number": "915-544-6707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALKNOR",
"first_name": "LARRY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-26",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "02458TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "02458TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093522303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80665Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.