Active NPI
Chattanooga Optical, LLC
Doing business as My EyeLab
- Optometrist
- Chattanooga, TN
National Provider Identifier
1366143240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CHATTANOOGA OPTICAL, LLC
- Doing business as
- My EyeLab
- Practice address
- 7720 Legends Way
Chattanooga, TN 37421-7101 - Phone
- (956) 335-6476
- Fax
- (561) 828-8367
- NPI assigned
- Mar 16, 2023
- Last updated
- Mar 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Garza
- Title
- Managed Care Manager
- Phone
- (619) 357-6146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary | |
| Eyewear Supplier | 332H00000X | NU |
Addresses
Primary practice location
7720 Legends Way
Chattanooga, TN 37421-7101
Mailing address
7720 Legends Way
Chattanooga, TN 37421-7101
Other names 1
- My EyeLab
National Provider Directory
National Provider Directory- Tax ID family
- Chattanooga Optical LLC
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": "1678924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678924800000",
"number": "1366143240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7720 LEGENDS WAY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 LEGENDS WAY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217101",
"telephone_number": "956-335-6476",
"fax_number": "561-828-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATTANOOGA OPTICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGED CARE MANAGER",
"authorized_official_telephone_number": "619-357-6146"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My EyeLab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chattanooga, TN
- Chattanooga OB GYN Group, PLLC
- Chattanooga OB-GYN Center, LLC
- Chattanooga Oncology and Hematology Associates
- Chattanooga Oncology and Hematology Associates (Coha)
- Chattanooga Operations, LLC (Elmcroft of Shallowford)
- Chattanooga Optical, LLC (My EyeLab)
- Chattanooga Oral & Maxillofacial Surgery, PLC
- Chattanooga Orthopaedic Group PC
- Chattanooga Orthopaedic Group, PC (Center for Sports Medicine and Orthopaedics)
- Chattanooga Orthopaedic Group, PC (Center for Sports Medicine and Orthopaedics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.