Organization Active NPI

Fadel Eye Group, LLC

Doing business as Lubbock Eye Professionals

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1023513520
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FADEL EYE GROUP, LLC
Doing business as
Lubbock Eye Professionals
Practice address
6002 Slide Rd Ste 68448
Lubbock, TX 79414-4341
Phone
(806) 771-3926
Fax
(281) 894-5393
NPI assigned
Mar 27, 2018
Organization subpart
Yes
Parent organization
FADEL EYE PRO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jimmy Price
Title
Credentialing Coord
Phone
(832) 277-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6002 Slide Rd Ste 68448
Lubbock, TX 79414-4341

Mailing address

PO Box 68448
Lubbock, TX 68448

Other names 1

  • Lubbock Eye Professionals Doing business as

National Provider Directory

National Provider Directory
Part of
Fadel Eye Group LLC

Locations

6002 Slide Rd
Ste 68448
Lubbock, TX 79414
Phone (806) 771-3926

6002 Slide Rd
Ste P8
Lubbock, TX 79414
Phone (806) 771-3926

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1023513520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68448",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "68448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SLIDE RD STE 68448",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144341",
            "telephone_number": "806-771-3926",
            "fax_number": "281-894-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADEL EYE GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FADEL EYE PRO, INC",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CREDENTIALING COORD",
        "authorized_official_telephone_number": "832-277-6870"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lubbock Eye Professionals",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lubbock Eye Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.