RGV EYE CENTER LLC (NPI# 1821648502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821648502 |
| Entity Type | Organization |
| Organization Name | RGV EYE CENTER LLC |
| Other Organization Name | PERMIAN BASIN EYECARE |
| Practice Address |
2260 Linda Ave Ste 201 Odessa TX 79763-2663 |
| Practice Telephone | 4323333937 |
| Practice Fax Number | 4323373937 |
| Mailing Telephone | 4323333937 |
| Mailing Fax Number | 4323373937 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | RUSSELL D SUBIA (PHYSICIAN) |
| Authorized Official Telephone | 4323333937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 8D8296 | 05 |
| Other Name | Type Code |
|---|---|
| Permian Basin Eyecare | Doing Business As Name - Organization |
| Street Address |
2260 LINDA AVE STE 201 |
| City | ODESSA |
| State | TX |
| Zip Code | 79763-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164885 | Mary Ewusie | Pharmacist | 2450 West Loop 3378, Odessa, TX 79763 | 2020-11-03 |
| 1982231569 | Yashica Patel | Student in an Organized Health Care Education/Training Program | 701 W. 5th St, Suite 1229, Odessa, TX 79763 | 2020-03-24 |
| 1144740457 | Devi Priya Suravajjala | Student in an Organized Health Care Education/Training Program | 701,w 5th Street, Odessa, TX 79763 | 2017-06-27 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1790046472 | Kathryn Nichole Hutton | Obstetrics & Gynecology | 701 W 5th Street, Odessa, TX 79763 | 2012-05-30 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1245529544 | Yvette Garcia | Counselor | 1012 W Macarthur, Odessa, TX 79763 | 2011-04-07 |
| 1386973873 | Patty Denise Pena | Pharmacist | 1305 W County Rd, Odessa, TX 79763 | 2009-12-14 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1952584690 | J A Mayans Md Pa | Ophthalmology | 907 W Second St, Odessa, TX 79763 | 2007-12-17 |
| Find all providers in zip 79763 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1205205408 | Mary Cairnie | Optometrist | 6018 Eastridge Rd # B, Odessa, TX 79762-5056 | 2015-09-17 |
| 1457762643 | Aaron R Urias | Optometrist | 4214 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 | 2014-05-10 |
| 1790010312 | Primary Care and Parasurgical Ophthalmic Services, Inc. | Optometrist | 3600 Billy Hext Rd., Ste 102, Odessa, TX 79765-8992 | 2009-10-15 |
| 1104003631 | Dennis Linsey Od Pa | Optometrist | 17633 Gunn Hwy, Suite 364, Odessa, FL 33556-1912 | 2008-01-28 |
| 1295920973 | Lawrence David Lassa | Optometrist | 420 N Grant Ave, Odessa, TX 79761-5156 | 2007-09-06 |
| 1336217504 | Maria G Ceballos | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2006-12-04 |
| 1255425880 | Francisco Javier Morales | Optometrist | 3863 E 42nd St, Odessa, TX 79762-5947 | 2006-10-03 |
| 1689773574 | Russell D Subia | Optometrist | 2260 Linda Ave, Ste. 201, Odessa, TX 79763-2663 | 2006-09-21 |
| Find all providers in ODESSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.