MARIO A. CABALLERO OD PC (NPI# 1114178316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114178316 |
| Entity Type | Organization |
| Organization Name | MARIO A. CABALLERO OD PC |
| Other Organization Name | EASTSIDE VISION CENTER |
| Practice Address |
10952 Ben Crenshaw Dr El Paso TX 79935-3043 |
| Practice Telephone | 9155928090 |
| Practice Fax Number | 9155929284 |
| Mailing Telephone | 9155928090 |
| Mailing Fax Number | 9155929284 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | DR. MARIO A CABALLERO (PRESIDENT) |
| Authorized Official Telephone | 9155928090 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4921TG | TX | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eastside Vision Center | Doing Business As Name - Organization |
| Street Address |
10952 BEN CRENSHAW DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79935-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760444293 | Mario A Caballero | Optometrist | 10952 Ben Crenshaw Dr, Suite A, El Paso, TX 79935-3043 | 2006-04-03 |
| 1619280427 | Opportunities Acm, P.C. | Optometrist | 10952 Ben Crenshaw Dr, El Paso, TX 79935-3055 | 2010-07-21 |
| 1598082232 | Eastside Eye Associates, P.a. | Optometrist | 10952 Ben Crenshaw Dr, El Paso, TX 79935-3055 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1366796724 | New Leaf Wellness Center | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935 | 2012-11-06 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| Find all providers in zip 79935 | ||||
| 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 |
|---|---|---|---|---|
| 1437261690 | Morris David Reiter | Optometrist | 750 Sunland Park Dr, Sunland Park Mall - Space D6, El Paso, TX 79912-6709 | 2006-08-31 |
| 1760444293 | Mario A Caballero | Optometrist | 10952 Ben Crenshaw Dr, Suite A, El Paso, TX 79935-3043 | 2006-04-03 |
| 1114919701 | Louis Martin Mcmahon | Optometrist | 9513 Viscount Blvd, Suite B, El Paso, TX 79925-7025 | 2005-08-18 |
| 1649273020 | Jack E. Phillips | Optometrist | 6101 Gateway Blvd. West, El Paso, TN 79912-3416 | 2005-05-31 |
| 1336612613 | Demarco Eyecare Associates Pllc | Optometrist | 7555 N Mesa St, El Paso, TX 79912-3505 | 2019-01-09 |
| 1043739568 | James Joseph Demarco Jr. | Optometrist | 7555 N Mesa St, El Paso, TX 79912-3505 | 2017-09-15 |
| 1104359751 | Apex Eyecare Pllc | Optometrist | 8080 Gateway Blvd E, El Paso, TX 79907-1275 | 2017-04-10 |
| 1215254966 | Buena Vista Eye Care Pllc | Optometrist | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4842 | 2010-04-20 |
| 1427281435 | Richard Nevins | Optometrist | 1850 N Zaragoza Rd, El Paso, TX 79936-7911 | 2009-08-25 |
| 1972761856 | Eye World | Optometrist | 9513 Viscount Blvd, Suite B, El Paso, TX 79925-7025 | 2008-05-28 |
| Find all providers in EL PASO | ||||
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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.