DR. RAFAEL ADOLFO GARCIA (OD) – Optometrist, NPI 1396303095

DR. RAFAEL ADOLFO GARCIA (OD) is a healthcare provider. based in Burleson, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9685TG (TX). The NPI Number for DR. RAFAEL ADOLFO GARCIA (OD) is 1396303095

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAFAEL ADOLFO GARCIA (OD)
NPI
1396303095
Phone
(817) 295-0100
Address
130 NW JOHN JONES DR STE 216A
Enumeration Date
29 May 2019
Last Update Date
11 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722999988
Graduation Year
2017 (9 years ago)
PAC ID
7911231931
Group Practice PAC ID
8527041326
Professional Enrollment ID
I20190625003833
Address ID
TX751040000CE305XXFMXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. RAFAEL ADOLFO GARCIA (OD)

  • 216, Northwest John Jones Drive, Burleson, Johnson County, Texas, 76028, United States

    BURLESON, TX 760288174

    Phone: (817) 295-0100

    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 3 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: CooperVision Inc. ($187).

Total Amount

$204

General + Research + Ownership

Payments

3

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

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: 2019-06-25

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
I20190625003833IOptometryTXTBD

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
92250Photography of the retina5555$0
92004New patient complete exam of visual system2828$0
92014Established patient complete exam of visual system2727$0
View full utilization report →

Insurance plans in this area (ZIP 76028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527041326View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YAR
O P T O M E T R YGA

Reviews

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Frequently asked questions

What number should I use to identify DR. RAFAEL ADOLFO GARCIA (OD) for billing?
Administrative and clinical systems typically use NPI 1396303095 for DR. RAFAEL ADOLFO GARCIA (OD).
Is DR. RAFAEL ADOLFO GARCIA (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. RAFAEL ADOLFO GARCIA (OD) as active.
What type of care does DR. RAFAEL ADOLFO GARCIA (OD) provide?
DR. RAFAEL ADOLFO GARCIA (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. RAFAEL ADOLFO GARCIA (OD) tied to Burleson, Texas?
If you are local to Burleson, Texas, DR. RAFAEL ADOLFO GARCIA (OD) may be relevant to your search.
Who maintains DR. RAFAEL ADOLFO GARCIA (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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