Provider Demographics
NPI:1205850450
Name:NAVARRO, LUIS SILBIANO (OD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:SILBIANO
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 S HWY 281
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3712
Mailing Address - Country:US
Mailing Address - Phone:956-383-5581
Mailing Address - Fax:956-381-1218
Practice Address - Street 1:2301 S HWY 281
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3712
Practice Address - Country:US
Practice Address - Phone:956-383-5581
Practice Address - Fax:956-381-1218
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6970T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215483301Medicaid
TX6970TOtherTEXAS BOARD OF OPTOMETRY
TX215482501Medicaid