20-20 Express--Dallas LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

20-20 EXPRESS--DALLAS LLC

Practice address

3450 Bainbridge Drive,
Ste 598
Dallas, TX 75237

Phone

(972) 780-2717

Fax

(972) 277-3176

NPI assigned

Sep 11, 2014

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

20-20 EXPRESS--DALLAS LLCAs reported in NPPES

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

Authorized official

Name

Karen Pittman

Title

Director of Managed Care

Phone

(920) 997-1583

Specialties & licenses 1

Addresses

Part of

2020 Express-Dallas LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eyemart Express LLC

  • Eyewear Supplier
  • New Braunfels, TX
  • NPI 1730552134

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1285035089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 BAINBRIDGE DRIVE,",
            "address_2": "STE 598",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-780-2717",
            "fax_number": "972-277-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BAINBRIDGE DRIVE,",
            "address_2": "STE 598",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-780-2717",
            "fax_number": "972-277-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 EXPRESS--DALLAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "20-20 EXPRESS--DALLAS LLC",
        "enumeration_date": "2014-09-11",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "920-997-1583"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.