Individual
JANET MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1253 US HIGHWAY 181, PORTLAND, TX 78374-1721
(361) 643-1516
(361) 643-7479
Mailing address
4517 GRAND LAKE DR, CORPUS CHRISTI, TX 78413-5268
(361) 658-8436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6558T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033FF
BCBS
TX
05
—
170814101
—
TX
Enumeration date
07/07/2006
Last updated
08/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us