Cynthia Lacy-Stallworth, O.D. LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

06786T Issued in TX

Legal business name

CYNTHIA LACY-STALLWORTH, O.D. LLC

Practice address

1615 S Loop W
Houston, TX 77054-4814

Phone

(713) 796-2216

Fax

(713) 383-7612

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Lacy-Stallworth, O.D.

Title

Optometrist

Phone

(713) 734-5376

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1083814610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544814",
            "telephone_number": "713-796-2216",
            "fax_number": "713-383-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770544814",
            "telephone_number": "713-796-2216",
            "fax_number": "713-383-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA LACY-STALLWORTH, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "LACY-STALLWORTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "713-734-5376",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "06786T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01560081",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthelese Enterprises, LLC (Cynthelese Massage Spa)
• Cynthia a. Ejimadu (JARU Home and Community Services)
• Cynthia Blizzard MD PLLC
• Cynthia D McNeil MD, P.a.
• Cynthia H. Moran, PA
• Cynthia Moran MD PA
• Cynthia R. Carter, M.S., LPC,LMFT
• Cynthia Uzoamaka Nwokocha Aprn-CNP (Zenith Health360)
• Cynthias Healthcare Services
• Cypher Solutions Inc

• Health Service Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.