Mr Mikes 39.95 Optical L.L.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MR MIKES 39.95 OPTICAL L.L.C.

Practice address

5755 NW Loop 410
Suite 105
San Antonio, TX 78238-2502

Phone

(210) 656-3995

Fax

(210) 257-8466

NPI assigned

Feb 20, 2015

Organization subpart

Yes

Parent organization

MR MIKES 39.95 OPTICAL L.L.C.As reported in NPPES

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

Authorized official

Name

Mr. Noah Yuchnitz

Title

Ceo

Phone

(210) 859-9826

Specialties & licenses 1

Addresses

Tax ID family

Mr Mikes 3995 Optical LLC2 organizations share this tax ID, including this one

Part of

Mr Mikes 3995 Optical LLC

Other organizations with this tax ID 1

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

• Mr Mikes 3995 Optical LLC

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1285056200
  NPD tax ID

Locations

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1245622703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N.W.LOOP 410",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-859-9826",
            "fax_number": "210-257-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 NW LOOP 410",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382502",
            "telephone_number": "210-656-3995",
            "fax_number": "210-257-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR MIKES 39.95 OPTICAL L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MR MIKES 39.95 OPTICAL L.L.C.",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "YUCHNITZ",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-859-9826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MP Pharmacy LLC
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• Mpower Clinical TX
• Ndanzia Mpunga, MD
• Mr Mikes 3995 Optical LLC
• MRI Centers of Texas LLC - San Antonio Series
• MRI Centers of Texas LLC- South San Antonio Series
• Justin Mrochek, DDS
• Gabriela Mroueh, MD

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.