Active NPI
Christopher Michael Guillen, O.D.
- Optometrist
- Donna, TX
National Provider Identifier
1902107279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7556TG
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7556TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guillen Eyecare PLLC | Optometrist | Current | Accepting new patients |
| RGV Vision Care LLC | Optometrist | Past | 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.
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- Weslaco, TX
- NPI 1225586845
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- Optometrist
- Weslaco, TX
- NPI 1154813129
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
- Annette R Gonzalez, RN
- Grimaldo's Adult Day Care LLC
- Grimaldo's Primary Home Care LLC
- Romeo Rolando Guerrero, NP
- Guillen Eyecare PLLC (Donna Eye Clinic & Optical)
- Cynthia A Gutierrez, MACCSLP
- Elizabeth Trevino Gutierrez, FNP
- Elsa Eileen Handy, PMHNP-BC
- Healing Ground Behavioral Health
- Healing Hands Pediatrics, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.