E&G Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

E&G OPTICAL LLC

Doing business as

My EyeLab

Practice address

1622 W Canada Hills Dr
Oro Valley, AZ 85737-9008

Phone

(561) 275-2020

Fax

(561) 828-8367

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Garza

Title

Managed Care Director

Phone

(561) 720-6423

Specialties & licenses 2

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

Eg Optical LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• E&G Optical LLC

  dba Stanton Optical

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1548027022
  NPD tax ID
• E&G Optical LLC

  dba My EyeLab

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1811610686
  NPD tax ID

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1356064125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W CANADA HILLS DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379008",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W CANADA HILLS DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379008",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&G OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
        "authorized_official_telephone_number": "561-720-6423"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conrad Drinkwater, DDS
• Norris Dunevant, M.D.
• Shauna Duran, PT
• Dykinga Therapy Services, L.L.C
• Dynasty of Selah Integrated Health Services PLLC
• Leighanne Donnelly Eakin, PT
• Benjamin Ehizele Ediale, PT, DPT
• Christopher Edkins, PT, DPT
• Erica Lynne Eggman, FNP-C
• Stephanie Eijsink-Roehr, M.D.

• Optometrist in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.