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RIDGE EYE CLINIC & OPTICAL INC NPI 1902860562


NPI Information

NPI: 1902860562
Provider Name: RIDGE EYE CLINIC & OPTICAL INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1313 S CAGE BLVD
PHARR, TX
ZIP 78577
Phone: (956) 783-5500
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RIDGE EYE CLINIC & OPTICAL INC is an eyewear supplier in Pharr, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. RIDGE EYE CLINIC & OPTICAL INC NPI is 1902860562. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1313 S CAGE BLVD
PHARR, TX
ZIP 78577-227
Phone: (956) 783-5500
Fax: (956) 783-5660

The provider's authorized official is Juan E. Cerda .
The authorized official title is Owner/optometrist and has the following contact phone number (956) 783-5500.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 2/22/2012.


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
1152W00000XOptometristNo
2332H00000XEyewear SupplierYes

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
100036SMEDICARE UPINTEXAS
2019085201MEDICAIDTEXAS
34150080001MEDICARE NSCTEXAS

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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