Ridge Eye Clinic & Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

RIDGE EYE CLINIC & OPTICAL INC

Practice address

1313 S Cage Blvd
Pharr, TX 78577-6227

Phone

(956) 783-5500

Fax

(956) 783-5660

NPI assigned

Apr 12, 2006

Last updated

Feb 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan E. Cerda, O.D.NPI 1376510404

Title

Owner/Optometrist

Phone

(956) 783-5500

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Everardo Cerda, O.D.

  • Optometrist
  • McAllen, TX
  • NPI 1376510404
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1902860562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776227",
            "telephone_number": "956-783-5500",
            "fax_number": "956-783-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776227",
            "telephone_number": "956-783-5500",
            "fax_number": "956-783-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE EYE CLINIC & OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "CERDA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "956-783-5500",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019085201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Pharr, TX
• Providers in Pharr, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.