NPIMap

Organization Active NPI

Mr Mikes 3995 Optical LLC

  • Eyewear Supplier
  • San Antonio, TX
National Provider Identifier
1285056200
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MR MIKES 3995 OPTICAL LLC
Practice address
5755 NW Loop 410
Ste. 105
San Antonio, TX 78238-2502
Phone
(210) 656-3995
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Mr. Noah Michael Yuchnitz
Title
President
Phone
(210) 656-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

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

Mailing address

5755 NW Loop 410
Ste. 105
San Antonio, TX 78238-2502
Phone (210) 656-3995

National Provider Directory

National Provider Directory
Tax ID family
Mr Mikes 3995 Optical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1285056200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 NW LOOP 410",
            "address_2": "STE. 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382502",
            "telephone_number": "210-656-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 NW LOOP 410",
            "address_2": "STE. 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382502",
            "telephone_number": "210-656-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR MIKES 3995 OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "YUCHNITZ",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-656-3995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.