Individual provider Active NPI

Thelzy Ruth Zamarron, OD

  • Optometrist
  • Laredo, TX
National Provider Identifier
1902525694
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10538T Issued in TX
Practice address
1119 Fenwick Dr Ste 101
Laredo, TX 78041-2971
Phone
(956) 652-4321
Fax
(888) 872-3909
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10538T TX Primary

Addresses

Primary practice location

1119 Fenwick Dr Ste 101
Laredo, TX 78041-2971

Mailing address

1119 Fenwick Dr Ste 101
Laredo, TX 78041-2971
Phone (956) 652-4321

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
I20221004002010 TX Practitioner - Optometry 0648656355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura Mendiola, MD, PLLCGroup PAC ID 6800018821, 2 clinicians

Practice addresses (Care Compare)

1119 Fenwick Dr
Suite 101
Laredo, TX 78041-2971
Phone (956) 652-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10538TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Mendiola, MD, PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1119 Fenwick Dr
Ste 101
Laredo, TX 78041
Phone (214) 417-1350

Organizations & group practices 1

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1902525694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 FENWICK DR STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412971",
            "telephone_number": "956-652-4321",
            "fax_number": "888-872-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 FENWICK DR STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412971",
            "telephone_number": "956-652-4321",
            "fax_number": "888-872-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMARRON",
        "first_name": "THELZY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10538T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.