Adda O Medina, OD

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

3128 Forest LN Ste 252
Dallas, TX 75234-7764

Phone

(972) 243-3373

Fax

(972) 243-3373

NPI assigned

Jul 28, 2007

Last updated

Jul 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Master Optics Opitcal Inc

  • Eyewear Supplier
  • Dallas, TX
  • NPI 1346541711
  Authorized official Same address or phone
• Master Optics Optical

  • Point of Service
  • Dallas, TX
  • NPI 1417141805
  Authorized official Same address or phone

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1114117819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN STE 252",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347764",
            "telephone_number": "972-243-3373",
            "fax_number": "972-243-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN STE 252",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347764",
            "telephone_number": "972-243-3373",
            "fax_number": "972-243-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ADDA",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-28",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicus Laboratories, LLC
• Medigy Group PLLC
• Rosalind Medina Figueroa
• Danny Medina Rivera
• Ricardo Andres Medina-Centeno, MD
• Albert John Medina, CRNA
• Anayelly Medina
• Andrea Medina
• Avriel Chantel Medina
• Camilla Medina

• Optician in Dallas, TX
• Providers in Dallas, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.