Mel McKinney LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MEL MCKINNEY LLC

Practice address

3620 W University Dr Ste 400
McKinney, TX 75071-2987

Phone

(469) 678-7400

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Other names 1

• My Eyelab McKinney Doing business as

Tax ID family

Mel McKinney LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mel McKinney LLC

  • Optometrist
  • Allen, TX
  • NPI 1649824939
  NPD tax ID

Locations

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1154975456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 W MCDERMOTT DR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 W UNIVERSITY DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712987",
            "telephone_number": "469-678-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL MCKINNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eyelab McKinney",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eyelab McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medstream Wellness Medical Group
• Sherry Meeks, LPC
• Ellen Francine Cavalcanti Mehta, MSN, APRN, FNP-C
• Cindy Kay Mejia, RN
• Lauren Mekaowulu, LVN
• Lauren Irene Melancon
• Tanya Natalie Melendez
• Yolanda Melendez
• Melinio Edge, LLC
• Brandy Mellas, RN

• Eyewear Supplier in McKinney, TX
• Providers in McKinney, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.