Active NPI
Brenda Fadeyi, O.D.
- Optometrist
- Weslaco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 92431
- Practice address
- 1919 W. Business 83
Weslaco, TX 78596 - Phone
- (956) 376-2003
- Fax
- (559) 846-5553
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 92431 | TX | Primary |
Addresses
Primary practice location
1919 W. Business 83
Weslaco, TX 78596
Mailing address
650 S Zediker Ave
BLDG 3
Parlier, CA 93648-2666
Phone (559) 646-6618
Other names 1
- Brenda Castro
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 |
|---|---|---|---|
| 92431 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Mahasneh MD PLLC | Current | Accepting new patients |
Locations
1169 N Burleson Blvd
Ste 121
Burleson, TX 76028
Phone (817) 426-6060
1169 N Burleson Blvd
Ste 131
Burleson, TX 76028
Phone (817) 426-6060
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
751 Mid Cities Blvd
Hurst, TX 76054
Phone (817) 656-2020
252 Matlock Rd
Ste 348
Mansfield, TX 76063
Phone (682) 622-0004
2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783
8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 4
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.
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- NPI 1942854682
-
- Optometrist
- Houston, TX
- NPI 1609348739
-
- Optometrist
- Carrollton, TX
- NPI 1356986301
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1902264989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S ZEDIKER AVE",
"address_2": "BLDG 3",
"city": "PARLIER",
"state": "CA",
"postal_code": "936482666",
"telephone_number": "559-646-6618",
"fax_number": "559-876-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W. BUSINESS 83",
"city": "WESLACO",
"state": "TX",
"postal_code": "78596",
"telephone_number": "956-376-2003",
"fax_number": "559-846-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADEYI",
"first_name": "BRENDA",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "92431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "CASTRO",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.