Individual provider Active NPI

Brenda Fadeyi, O.D.

  • Optometrist
  • Weslaco, TX
National Provider Identifier
1902264989
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
92431 Issued in TX
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

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20220126000447 TX Practitioner - Optometry 6608173737 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92431TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 10, 2022 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jan 10, 2022 Accepting new patients
Mahasneh MD PLLC CurrentSince Sep 9, 2024 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.

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

Verify at the official NPI Registry.