Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RICHARD AVILA JR. O.D.
NPI 1043292295
Optometrist in Corpus Christi, TX

Active since November 15, 2005PECOS Enrolled
83.36/100
CMS Quality Rating
5402 S STAPLES ST, SUITE 100, CORPUS CHRISTI, TX 78411(361) 992-9400(361) 992-8295 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Avila Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD AVILA JR. O.D. (NPI 1043292295) is an individual optometrist in Corpus Christi, Texas, licensed in Texas (05221TG) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1996).

NPPES Registry Identity

NPI1043292295
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD AVILA JR.Credential: O.D.
Location Address5402 S STAPLES ST, SUITE 100Corpus Christi, TX 78411-4656
Mailing Address5402 S Staples St, Suite 100Corpus Christi, TX 78411-4656 · (361) 992-9400 · Fax (361) 992-8295
Fax(361) 992-8295
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1996
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1043292295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TX · 05221TG
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5402 S STAPLES ST, Corpus Christi, TX 78411

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Richard Avila Jr. O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446383186
PECOS Enrollment IDI20100803000096
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
133 services122 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
121 services107 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
70 services70 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.65
Improvement Activities40
Cost54.34

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
5402 S STAPLES ST
CORPUS CHRISTI, TX 78411
Allergy & Immunology
5402 S STAPLES ST, STE 205
CORPUS CHRISTI, TX 78411
Eyewear Supplier
5402 S STAPLES ST, SUITE 100
CORPUS CHRISTI, TX 78411
Psychologist (Clinical)
5402 S STAPLES ST, SUITE 200
CORPUS CHRISTI, TX 78411
Ophthalmology
5402 S STAPLES ST, SUITE 100
CORPUS CHRISTI, TX 78411
Ophthalmology
5402 S STAPLES ST, SUITE 100
CORPUS CHRISTI, TX 78411
Clinic/Center (Primary Care)
5402 S STAPLES ST, STE 103
CORPUS CHRISTI, TX 78411
Eyewear Supplier
5402 S STAPLES ST, SUITE 100
CORPUS CHRISTI, TX 78411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Avila's NPI number?

The NPI number for Richard Avila is 1043292295. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Richard Avila located?

Richard Avila practices at 5402 S Staples St Suite 100, Corpus Christi, TX 78411. The listed phone number is (361) 992-9400.

What is Richard Avila's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Richard Avila enrolled in Medicare?

Yes. Richard Avila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Avila accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Richard Avila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Avila was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.