My Own Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MY OWN OPTICAL LLC

Practice address

1336 SW Military Dr # 2
San Antonio, TX 78221-1575

Phone

(210) 580-3316

Fax

(210) 375-4991

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Fidel Alexander Pantoja, OPTICIANNPI 1124783881

Title

Owner

Phone

(210) 580-3316

Specialties & licenses 1

Addresses

Tax ID family

My Own 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.

• My Own Optical LLC

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1528728995
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fidel Alexander Pantoja, OPTICIAN

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1124783881
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1376203570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 SW MILITARY DR # 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211575",
            "telephone_number": "210-580-3316",
            "fax_number": "210-375-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 SW MILITARY DR # 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211575",
            "telephone_number": "210-580-3316",
            "fax_number": "210-375-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OWN OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PANTOJA",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-580-3316",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Nest Care-Complete Home Care LLC
• My NP LLC
• My Nutrition Studio
• My Own Hospice
• My Own Hospice LLC (OpusCare of Texas)
• My Own Optical LLC
• My Smile Artist, PLLC (my smile artist)
• Julie Ann Mydland, RN
• Matthew David Mydland, RN
• Abigail C Myers, MD

• Eyewear Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.