ODESSA ADVANCED EYE CARE, PA (NPI# 1972721785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972721785 |
| Entity Type | Organization |
| Organization Name | ODESSA ADVANCED EYE CARE, PA |
| Practice Address |
4702 E University Blvd Odessa TX 79762-8105 |
| Practice Telephone | 4325504245 |
| Practice Fax Number | 4325504370 |
| Mailing Telephone | 4325504245 |
| Mailing Fax Number | 4325504370 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | MRS. IRMA URIAS (INSURANCE SPECIALIST) |
| Authorized Official Telephone | 4325504245 |
| Is Organization Subpart | Y |
| Parent Organization Name | ODESSA ADVANCED EYE CARE, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3371TG | TX | Eye and Vision Services Providers |
| Street Address |
4702 E UNIVERSITY BLVD |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336217504 | Maria G Ceballos | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2006-12-04 |
| 1780069914 | Griselda Benavides | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2015-07-29 |
| 1801915129 | Armanae Amanda Mancha | Optometrist | 4702 E University Blvd, Odessa, TX 79762-8105 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004840 | Dripping Springs Vision Center, Pa | Optometrist | 750 W Highway 290, Dripping Springs, TX 78620-3861 | 2020-05-12 |
| 1427693621 | Huynh Vision Services Inc PC | Optometrist | 1405 W Berry St, Ft Worth, TX 76110-3814 | 2019-11-12 |
| 1992367460 | Budaful Eyes Pllc | Optometrist | 15550 S Ih 35 Frontage Rd, 107, Buda, TX 78610 | 2019-07-03 |
| 1831631134 | Divine Innovations Pllc | Optometrist | 6646 S Staples St Ste 108, Corpus Christi, TX 78413-5426 | 2016-11-17 |
| 1679024384 | Chao and Yi Eye Associates, PC | Optometrist | 9722 Gaston Road, Suite: 170, Katy, TX 77494 | 2016-10-18 |
| 1811344674 | Rayford Eye Associates, Pllc | Optometrist | 2833 Riley Fuzzel Rd., #300, Spring, TX 77386 | 2016-05-20 |
| 1902224173 | Doris D Forte | Optometrist | 11341 Hillard Street, Ellington Air Station, Houston, TX 77034 | 2014-04-03 |
| 1770922338 | Napoleon Cabaguio Lovero II | Optometrist | 520 Waugh Drive, Houston, TX 77019 | 2013-06-17 |
| 1093052128 | Renaissance Eyecare | Optometrist | 2900 East Berry Street Suite 101, Fort Worth, TX 76105-4755 | 2013-01-09 |
| 1851636989 | Trophy Club Vision Care LLP | Optometrist | 2001 E Highway 114 Ste 180, Trophy Club, TX 76262-6656 | 2012-11-29 |
| Find all providers with the same taxonomy | ||||
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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.