Individual provider Active NPI

Stephanie Liane Munoz

  • Optometrist
  • McAllen, TX
National Provider Identifier
1073129664
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10094TG Issued in TX
Practice address
317 S Broadway St
McAllen, TX 78501-4801
Phone
(956) 686-7435
NPI assigned
Sep 18, 2020
Last updated
Aug 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10094TG TX Primary

Addresses

Primary practice location

317 S Broadway St
McAllen, TX 78501-4801

Mailing address

317 S Broadway St
McAllen, TX 78501-4801
Phone (956) 686-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10094TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Beardsley's Super Optical, Inc. CurrentSince Jan 10, 2021 Accepting new patients

Locations

317 S Broadway St
McAllen, TX 78501
Phone (956) 686-7435

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1073129664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S BROADWAY ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014801",
            "telephone_number": "956-686-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S BROADWAY ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014801",
            "telephone_number": "956-686-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "STEPHANIE",
        "middle_name": "LIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10094TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.