Active NPI
Cristian Radaneata, OD
- Optometrist
- Kingsville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5189TG
- Practice address
- 1016 S 14TH St
Kingsville, TX 78363-6422 - Phone
- (361) 592-4744
- NPI assigned
- Jul 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 5189TG | TX | |
| Pediatric Optometrist | 152WP0200X | 5189TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 5189TG | TX | |
| Optometrist | 152W00000X | 5189TG | TX | Primary |
Addresses
Primary practice location
1016 S 14TH St
Kingsville, TX 78363-6422
Mailing address
1016 S 14TH St
Kingsville, TX 78363-6422
Phone (361) 592-4744
Other practice location 1
5718 McArdle Rd Ste 104
Corpus Christi, TX 78412-3488
Phone (361) 991-0926
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092993701 | Medicaid | TX | |
| P01042734 | Other | MEDICARE RAILROAD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2730 S Brahma Blvd
Suite 114B
Kingsville, TX 78363-7138
Phone (361) 592-4744
5718 McArdle Rd
Suite 104
Corpus Christi, TX 78412-3488
Phone (361) 991-0926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5189TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnoldo R. Villarreal, M. D., P.a. | Past | Accepting new patients | |
| Berkeley Eye Institute, PLLC | Optometrist | Past | Accepting new patients |
| Jacob J Moore MD PA | Optometrist | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Corpus Christi, TX
- NPI 1740204452
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Corpus Christi, TX
- NPI 1750696555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1992702864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S 14TH ST",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783636422",
"telephone_number": "361-592-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 S 14TH ST",
"city": "KINGSVILLE",
"state": "TX",
"postal_code": "783636422",
"telephone_number": "361-592-4744"
}
],
"practiceLocations": [
{
"address_1": "5718 McArdle Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784123488",
"country_code": "US",
"telephone_number": "361-991-0926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADANEATA",
"first_name": "CRISTIAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-06",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TX",
"license": "5189TG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "5189TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5189TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5189TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092993701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01042734",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.