Odessa Advanced Eye Care, PA

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

3371TG Issued in TX

Legal business name

ODESSA ADVANCED EYE CARE, PA

Practice address

4702 E University Blvd
Odessa, TX 79762-8105

Phone

(432) 550-4245

Fax

(432) 550-4370

NPI assigned

Apr 24, 2007

Organization subpart

Yes

Parent organization

ODESSA ADVANCED EYE CARE, PAAs reported in NPPES

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

Authorized official

Name

Mrs. Irma Urias

Title

Insurance Specialist

Phone

(432) 550-4245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Odessa Advanced Eye Care PA

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Griselda Benavides Aguirre, O.D.

  • Optometrist
  • Odessa, TX
  • NPI 1780069914
  Medicare reassignment Care Compare group
• Maria G Ceballos, O.D.

  • Optometrist
  • Odessa, TX
  • NPI 1336217504
  Medicare reassignment Care Compare group
• Armanae Amanda Mancha, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1801915129
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1972721785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 E UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628105",
            "telephone_number": "432-550-4245",
            "fax_number": "432-550-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 E UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628105",
            "telephone_number": "432-550-4245",
            "fax_number": "432-550-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA ADVANCED EYE CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODESSA ADVANCED EYE CARE, PA",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "URIAS",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "432-550-4245",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3371TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Oblanis, PA-C
• Geoffrey Obwocha
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Occupational Healthcare Plus, PLLC
• Odessa Acute Trauma PLLC
• Odessa Chiropractic Association, P.a. (DBA - Chiropractic Associates)
• Odessa Consultants, LLC (Center for Hypertension and Internal Medicine)
• Odessa Dental Solution PA
• Odessa East Loop Surgery Center ,LP
• Odessa Emergency Center, LLC (SignatureCare Emergency Centers, LLC)

• Corneal and Contact Management Optometrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.