DR. PRISCILLA ROSE HEREDIA (O.D.) – Optometrist, NPI 1104208263

DR. PRISCILLA ROSE HEREDIA (O.D.) is a healthcare provider. based in Eagle pass, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8680T (TX). The NPI Number for DR. PRISCILLA ROSE HEREDIA (O.D.) is 1104208263

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRISCILLA ROSE HEREDIA (O.D.)
NPI
1104208263
Phone
(830) 773-7339
Address
708 S BIBB AVE
Enumeration Date
25 June 2015
Last Update Date
25 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8307737339
Graduation Year
2015 (11 years ago)
PAC ID
0941516611
Professional Enrollment ID
I20150826002481
Address ID
TX788525069EA708XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. PRISCILLA ROSE HEREDIA (O.D.)

  • 708 S BIBB AVE

    EAGLE PASS, TX 788525069

    Phone: (830) 773-7339

    Fax: (830) 773-4618

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($79).

Total Amount

$127

General + Research + Ownership

Payments

6

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150826002481IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system214126$0
92014Established patient complete exam of visual system133123$0
92083Exam of visual field with extended testing6548$0
92133Imaging of optic nerve5448$0
92004New patient complete exam of visual system5050$0
View full utilization report →

Insurance plans in this area (ZIP 78852)

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Reviews

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Frequently asked questions

What is the registry number for DR. PRISCILLA ROSE HEREDIA (O.D.)?
The registry entry for DR. PRISCILLA ROSE HEREDIA (O.D.) shows NPI 1104208263.
Quick check: is DR. PRISCILLA ROSE HEREDIA (O.D.) active?
Public NPPES data shows DR. PRISCILLA ROSE HEREDIA (O.D.) with an active NPI status right now.
How should patients interpret DR. PRISCILLA ROSE HEREDIA (O.D.)'s specialty?
The extract shows Optometrist for DR. PRISCILLA ROSE HEREDIA (O.D.). Clinical services aligned with this taxonomy classification.
Is DR. PRISCILLA ROSE HEREDIA (O.D.) tied to Eagle Pass, Texas?
If you are local to Eagle Pass, Texas, DR. PRISCILLA ROSE HEREDIA (O.D.) may be relevant to your search.
Why is information missing for DR. PRISCILLA ROSE HEREDIA (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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