Provider Demographics
NPI:1285082594
Name:PINEDO, ERIKA YASIRA (OD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:YASIRA
Last Name:PINEDO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 PERSHING DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-2483
Mailing Address - Country:US
Mailing Address - Phone:915-261-7011
Mailing Address - Fax:915-231-6822
Practice Address - Street 1:2900 PERSHING DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-2483
Practice Address - Country:US
Practice Address - Phone:915-261-7011
Practice Address - Fax:915-231-6822
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8872T152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management