Individual provider Active NPI

Lorena Castaneda, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1962517425
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5558TG Issued in TX
Practice address
915 Gessner Rd Ste 250
Houston, TX 77024-2534
Phone
(713) 467-5660
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5558TG TX Primary

Addresses

Primary practice location

915 Gessner Rd Ste 250
Houston, TX 77024-2534

Mailing address

2855 Gramercy St Ste 398
Houston, TX 77025-1635
Phone (713) 668-6828

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
I20050413000556 TX Practitioner - Optometry 8820035611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2430 Fry Rd
Houston, TX 77084-5831
Phone (281) 829-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5558TGTXMDOptometrist
5558TXMDEEG Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optomedica Eye Consultants LLC Optometrist CurrentSince Dec 14, 2013 Accepting new patients
Dr Bruce a Hoff, PC Optometrist Past Accepting new patients

Locations

2430 Fry Rd
Houston, TX 77084
Phone (281) 772-3832

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962517425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 398",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251635",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242534",
            "telephone_number": "713-467-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "LORENA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5558TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.