Medical Center Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

156FX1800X Issued in TX

Legal business name

MEDICAL CENTER OPTICAL LLC

Practice address

2240 W Holcombe Blvd Ste B
Houston, TX 77030-2008

Phone

(713) 664-5678

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter A Canovas Jr.

Title

MBR

Phone

(713) 664-5678

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1245783109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W HOLCOMBE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302008",
            "telephone_number": "713-664-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 W HOLCOMBE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302008",
            "telephone_number": "713-664-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "CANOVAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "713-664-5678",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "156FX1800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.