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EASTSIDE VISION CENTER
NPI 1114178316
Optometrist - Corneal and Contact Management in El Paso, TX

Active since October 06, 2008
10952 BEN CRENSHAW DR, EL PASO, TX 79935(915) 592-8090(915) 592-9284 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastside Vision Center NPPES

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

EASTSIDE VISION CENTER (NPI 1114178316) is a healthcare organization registered as a corneal and contact management in El Paso, Texas and active in the NPI registry since October 2008. The organization lists Mario A Caballero, President, as its authorized official.

NPPES Registry Identity

NPI1114178316
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameMARIO A. CABALLERO OD PC
Location Address10952 BEN CRENSHAW DREl Paso, TX 79935-3043
Mailing Address10952 Ben Crenshaw DrEl Paso, TX 79935-3043 · (915) 592-8090 · Fax (915) 592-9284
Phone(915) 592-8090
Fax(915) 592-9284
Organization SubpartNo
Authorized OfficialMario A CaballeroPresident · (915) 592-8090
Enumeration DateOctober 6, 2008
✔ NPI 1114178316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in TX · 4921TG
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
10952 BEN CRENSHAW DR, El Paso, TX 79935
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Other Names 1

Doing Business AsEastside Vision Center

Other Identifiers 2

Medicare PIN00E08VTX
Medicare UPINU613512TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastside Vision Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mario Caballero, O.D.
Optometry
NPI 1760444293
10952 BEN CRENSHAW DR SUITE A
El Paso, TX 79935
(915) 592-8090
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mario A. Caballero Od PC's NPI number?

The NPI number for Mario A. Caballero Od PC is 1114178316. It was assigned to this organization in the NPPES registry on October 6, 2008. The provider is doing business as Eastside Vision Center.

Where is Mario A. Caballero Od PC located?

Mario A. Caballero Od PC is located at 10952 Ben Crenshaw Dr, El Paso, TX 79935. The listed phone number is (915) 592-8090.

What is Mario A. Caballero Od PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Mario A. Caballero Od PC enrolled in Medicare?

Yes. Mario A. Caballero Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mario A. Caballero Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mario A. Caballero Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mario A. Caballero Od PC was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.