Provider Demographics
NPI:1831550516
Name:ALMENDAREZ, ROBERT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:ALMENDAREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:ALMENDAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CERTIFIED OPTICIAN
Mailing Address - Street 1:3005 HUISACHE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7819
Mailing Address - Country:US
Mailing Address - Phone:956-457-9778
Mailing Address - Fax:
Practice Address - Street 1:3005 HUISACHE
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7819
Practice Address - Country:US
Practice Address - Phone:956-457-9778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA140974156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician