PROVIDENT EYE SPECIALISTS, PA (NPI# 1558799833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558799833 |
| Entity Type | Organization |
| Organization Name | PROVIDENT EYE SPECIALISTS, PA |
| Practice Address |
11212 Montwood Dr El Paso TX 79936-4241 |
| Practice Telephone | 9155954300 |
| Practice Fax Number | 9155954301 |
| Mailing Telephone | 9155954300 |
| Mailing Fax Number | 9155954301 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | DR. KEAK CHY KHAUV (OWNER) |
| Authorized Official Telephone | 9152409198 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11212 MONTWOOD DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265444681 | Keak C Khauv | Ophthalmology | 11212 Montwood Dr, El Paso, TX 79936 | 2006-08-13 |
| 1366710576 | Alfonso Ismael Carrasco | Chiropractor | 11212 Montwood Dr, El Paso, TX 79936-4241 | 2011-12-02 |
| 1306020854 | The Pain Treatment Center | Clinic/Center | 11212 Montwood Dr, El Paso, TX 79936-4241 | 2007-12-19 |
| 1982807301 | Barker Chiropractic Center | Chiropractor | 11212 Montwood Dr, El Paso, TX 79936-4241 | 2007-06-06 |
| 1346443660 | Apex Durable Medical Equipment Co., Inc | Durable Medical Equipment & Medical Supplies | 11212 Montwood Dr, El Paso, TX 79936-4241 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255773313 | Erica Renee Alvarez | Ophthalmology | 2000b Trans Mountain Road, Ophthalmology Clinic 3rd Floor, El Paso, TX 79911-3600 | 2013-07-18 |
| 1730471459 | Mohamed A Guenena | Ophthalmology | 2900 Pershing Dr Ste A, El Paso, TX 79903-2483 | 2011-05-13 |
| 1093944225 | Patricia C Nelson | Ophthalmology | 2000 Trans Mountain Rd Fl 3b, El Paso, TX 79911-3601 | 2009-07-09 |
| 1184866808 | Visione 360 Pa | Ophthalmology | 400 Executive Center Blvd, El Paso, TX 79902-1004 | 2009-03-26 |
| 1922266279 | Jorge F. Llamas Soforo, M.d., P.a. | Ophthalmology | 101 Arizona Ave, El Paso, TX 79902-4015 | 2008-05-22 |
| 1598953473 | Marcos Calderon., M.d. P.a. | Ophthalmology | 1717 N Brown St Ste 3, El Paso, TX 79902-4730 | 2007-10-04 |
| 1467672857 | El Paso Eye Surgeons, P.a. | Ophthalmology | 1201 N Mesa St Ste G, El Paso, TX 79902-4000 | 2007-04-26 |
| 1417072349 | Joseph Michon | Ophthalmology | 904 Mckelligon Dr, El Paso, TX 79902-2414 | 2007-03-20 |
| 1538217922 | David R. Schecter, Md., Pa | Ophthalmology | 1220 North Oregon Street, El Paso, TX 79902 | 2007-01-08 |
| 1821158627 | Stephen A D Schuster, M.d., P.a. | Ophthalmology | 1700 Curie Dr Ste 2100, El Paso, TX 79902-2981 | 2006-12-11 |
| 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.