Active NPI
R Q Optometry
- Optometrist
- Pasadena, TX
National Provider Identifier
1902948383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4593T
- Legal business name
- R Q OPTOMETRY
- Practice address
- 2777 Shaver St Ste a
Pasadena, TX 77502-4625 - Phone
- (713) 941-7112
- Fax
- (713) 941-7112
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raul Quintanilla, OD
- Title
- Optometrist Owner
- Phone
- (713) 941-7112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4593T | TX | Primary |
Addresses
Primary practice location
2777 Shaver St Ste a
Pasadena, TX 77502-4625
Mailing address
2777 Shaver St Ste a
Pasadena, TX 77502-4625
Phone (713) 941-7112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019581001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2777 Shaver St
Ste A
Pasadena, TX 77502
Phone (713) 941-7112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Pasadena, TX
- NPI 1578791687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476057600000",
"number": "1902948383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 SHAVER ST STE A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775024625",
"telephone_number": "713-941-7112",
"fax_number": "713-941-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 SHAVER ST STE A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775024625",
"telephone_number": "713-941-7112",
"fax_number": "713-941-7112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R Q OPTOMETRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2016-10-10",
"status": "A",
"authorized_official_last_name": "QUINTANILLA",
"authorized_official_first_name": "RAUL",
"authorized_official_title_or_position": "OPTOMETRIST OWNER",
"authorized_official_telephone_number": "713-941-7112",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "4593T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019581001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.