Individual provider Active NPI

Roberto Farid Fournier, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1982127973
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9228T Issued in TX
Practice address
8889 Gateway Blvd W Ste 1010
El Paso, TX 79925-6542
Phone
(915) 201-0190
NPI assigned
Jul 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9228T TX Primary

Addresses

Primary practice location

8889 Gateway Blvd W Ste 1010
El Paso, TX 79925-6542

Mailing address

11625 Pratt Ave
El Paso, TX 79936-2519

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
I20180103002627 TX Practitioner - Optometry 4385902956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye and Ocular Surface Center of Texas LLCGroup PAC ID 5294958757, 6 clinicians

Practice addresses (Care Compare)

600 N Laurel St
Cornea and Cataract Specialty Center
El Paso, TX 79903-3402
Phone (915) 261-7011

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Quality
99.82
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye & Ocular Surface Center of Texas LLC CurrentSince Nov 12, 2017 Accepting new patients
Complete Surgery of El Paso LLC PastSince Nov 12, 2017 Accepting new patients

Locations

600 N Laurel St
El Paso, TX 79903
Phone (915) 261-7011

2900 Pershing Dr
Ste A
El Paso, TX 79903
Phone (915) 261-7011

3235 Trawood Dr
El Paso, TX 79936
Phone (915) 231-6822

Interoperability endpoints

  • Direct secure messaging: rfournier@corneacataract.direct.eyemdemr.com

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1982127973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 PRATT AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 GATEWAY BLVD W STE 1010",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256542",
            "telephone_number": "915-201-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "ROBERTO",
        "middle_name": "FARID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9228T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.