MD Connally LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MD CONNALLY LLC

Doing business as

Spectacles West

Practice address

2529 S Main St
Suite 102
Weatherford, TX 76087-5154

Phone

(817) 550-8021

Fax

(807) 458-9879

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Michael Connally, OPTICIAN

Title

Owner

Phone

(817) 550-8021

Specialties & licenses 1

Addresses

Other names 1

• Spectacles West Doing business as

Locations

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1245597301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875154",
            "telephone_number": "817-550-8021",
            "fax_number": "807-458-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875154",
            "telephone_number": "817-550-8021",
            "fax_number": "807-458-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CONNALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "CONNALLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-550-8021",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectacles West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.