Provider Demographics
NPI:1568515179
Name:ANA L SALINAS
Entity Type:Organization
Organization Name:ANA L SALINAS
Other - Org Name:HAMMOND VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-682-2141
Mailing Address - Street 1:505 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4903
Mailing Address - Country:US
Mailing Address - Phone:956-682-2141
Mailing Address - Fax:956-682-2142
Practice Address - Street 1:505 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4903
Practice Address - Country:US
Practice Address - Phone:956-682-2141
Practice Address - Fax:956-682-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4841T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4524800001OtherCIGNA GOVERNMENT SERVICES
TX152547901Medicaid
TX8AD929OtherBCBS
TN4524800001OtherMEDICARE DME JURISDICTION C
TX154396901Medicaid
TX152547901Medicaid
TX4524800001Medicare NSC
TX410049391Medicare ID - Type UnspecifiedRAILROAD MEDICARE