MEDICARE: JEFFERSON CADAVEZ OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11199	TX

General Provider Information

NPI Number	:	1821834219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFERSON CADAVEZ OD

Provider Business Mailing Address
First Line	:	11510 BARKER CYPRESS RD STE 150
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-6853
Country	:	US
Telephone Number	:	832-653-7135
Fax Number	:	832-905-1704

Provider Business Practice Location Address
First Line	:	11510 BARKER CYPRESS RD STE 150
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-6853
Country	:	US
Telephone Number	:	832-653-7135
Fax Number	:	832-905-1704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	02/19/2026

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Directions to “ JEFFERSON CADAVEZ OD” Practice Location

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