Individual provider Active NPI

Antonio Ramirez, OD

  • Optometrist
  • McAllen, TX
National Provider Identifier
1972681401
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5154TG Issued in TX
Practice address
4013 N 23Rd St Ste B
McAllen, TX 78504-4131
Phone
(956) 687-6567
Fax
(956) 682-3344
NPI assigned
Nov 1, 2006
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5154TG TX Primary

Addresses

Primary practice location

4013 N 23Rd St Ste B
McAllen, TX 78504-4131

Mailing address

4013 N 23Rd St Ste B
McAllen, TX 78504-4131
Phone (956) 687-6567

Other identifiers 1

IdentifierTypeStateIssuer
019355901MedicaidTX

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
I20101202001112 TX Practitioner - Optometry 8729275730 Practice locations: McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4013 N 23Rd B
McAllen, TX 78504-4131

4013 N 23Rd St
Suite B
McAllen, TX 78504-4131
Phone (956) 687-6567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5154TXMDMarriage & Family Therapist
5154TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1972681401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 N 23RD ST STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044131",
            "telephone_number": "956-687-6567",
            "fax_number": "956-682-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N 23RD ST STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044131",
            "telephone_number": "956-687-6567",
            "fax_number": "956-682-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5154TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019355901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.