Elia Calderon, O.D.
Individual provider Active NPI Optometrist · Atascocita, TX
NPI 1982403705 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1982403705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 10815T (TX)
- Practice address
- 18700 W Lake Houston Pkwy Ste B101
Atascocita, TX 77346-3431 - Phone
- (832) 551-2020
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Texas Professional PLLC
Practice addresses (Care Compare)
18700 W Lake Houston Pkwy
Suite B101
Humble, TX 77346-3431
Phone (832) 551-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409000418 | TX | Practitioner - Optometry | 2365966504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10815 | TX | MD | Dental Hygienist |
| 10815T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Texas Professional PLLC | Optometrist | Current |
Accepting new patients |
| Janet B Ogletree OD PA | Optometrist | Past |
Accepting new patients |
| Dianne Bui Dao OD PC | Optometrist | Past |
Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444
18700 W Lake Houston Pkwy
Ste B101
Humble, TX 77346
Phone (281) 812-4000
2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020
670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10815T | TX | Yes |
Addresses
Primary practice location
18700 W Lake Houston Pkwy Ste B101
Atascocita, TX 77346-3431
Mailing address
15910 Walnut Shores Dr
Houston, TX 77044-1212
Phone (832) 545-2547
Other providers in Atascocita, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.