Individual provider Active NPI

Christopher Michael Guillen, O.D.

  • Optometrist
  • Donna, TX
National Provider Identifier
1902107279
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7556TG Issued in TX
Practice address
310 North Salinas Blvd
Donna, TX 78537
Phone
(956) 464-8160
Fax
(956) 464-8535
NPI assigned
Nov 3, 2010
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7556TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 7556TG TX
Pediatric Optometrist 152WP0200X 7556TG TX
Sports Vision Optometrist 152WS0006X 7556TG TX
Vision Therapy Optometrist 152WV0400X 7556TG TX
Occupational Vision Optometrist 152WX0102X 7556TG TX

Addresses

Primary practice location

310 North Salinas Blvd
Donna, TX 78537

Mailing address

310 North Salinas Blvd
Donna, TX 78537
Phone (956) 464-8160

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
I20101208000140 TX Practitioner - Optometry 7517154263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 N Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-8160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7556TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guillen Eyecare PLLC Optometrist CurrentSince Feb 27, 2012 Accepting new patients
RGV Vision Care LLC Optometrist PastSince May 11, 2018 Accepting new patients
Jaime Rodriguez OD Optometrist Past Accepting new patients

Locations

301 N Salinas Blvd
Donna, TX 78537
Phone (281) 608-1068

Organizations & group practices 3

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1902107279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NORTH SALINAS BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "78537",
            "telephone_number": "956-464-8160",
            "fax_number": "956-464-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NORTH SALINAS BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "78537",
            "telephone_number": "956-464-8160",
            "fax_number": "956-464-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7556TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7556TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7556TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "7556TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "7556TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "7556TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donna, TX

Sources for this page

Verify at the official NPI Registry.