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SOUTHWEST TEXAS OPTICAL NPI 1790875623


NPI Information

NPI: 1790875623
Provider Name: SOUTHWEST TEXAS OPTICAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 45D0906615

Address:
708 S BIBB AVE STE B
EAGLE PASS, TX
ZIP 78852
Phone: (830) 773-7339
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SOUTHWEST TEXAS OPTICAL is a durable medical equipment medical supplies in Eagle Pass, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHWEST TEXAS OPTICAL NPI is 1790875623. The provider is registered as an organization entity type.

The provider's business location address is:

708 S BIBB AVE STE B
EAGLE PASS, TX
ZIP 78852-069
Phone: (830) 773-7339
Fax: (830) 773-4618

The provider's authorized official is Carlos E Rodriguez .
The authorized official title is Ceo and has the following contact phone number (830) 773-7339.

The CLIA number assigned to this NPI record is 45D0906615 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesF7109TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11306270001MEDICARE NSCTEXAS
20066478101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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