Active NPI
Michael Maki
- Optician
- Taylor, TX
National Provider Identifier
1215315593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 601 Mallard LN
B
Taylor, TX 76574-1214 - Phone
- (512) 352-3016
- Fax
- (512) 365-3027
- NPI assigned
- May 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
601 Mallard LN
B
Taylor, TX 76574-1214
Mailing address
601 Mallard LN
B
Taylor, TX 76574-1214
Phone (512) 352-3016
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Optical, Inc. | Optician | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1215315593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MALLARD LN",
"address_2": "B",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765741214",
"telephone_number": "512-352-3016",
"fax_number": "512-365-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MALLARD LN",
"address_2": "B",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765741214",
"telephone_number": "512-352-3016",
"fax_number": "512-365-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKI",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.