Aurea I Rivera OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2217T Issued in TX

Legal business name

AUREA I RIVERA OD PC

Doing business as

dba Texas State Optical

Practice address

550 Heights Blvd
Suite-B
Houston, TX 77007-2533

Phone

(713) 862-3149

Fax

(713) 862-6523

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Aurea I Rivera, OD

Title

President Optometrist

Phone

(713) 862-3149

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba Texas State Optical Doing business as

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1952351678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HEIGHTS BLVD",
            "address_2": "SUITE-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072533",
            "telephone_number": "713-862-3149",
            "fax_number": "713-862-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HEIGHTS BLVD",
            "address_2": "SUITE-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072533",
            "telephone_number": "713-862-3149",
            "fax_number": "713-862-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUREA I RIVERA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "AUREA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "713-862-3149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2217T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "N0110387",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093241001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.