NPIMap

Organization Active NPI

Mel Optical LLC

  • Eyewear Supplier
  • Acworth, GA
National Provider Identifier
1376217026
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MEL OPTICAL LLC
Practice address
3245 Cobb Pkwy NW Ste 105
Acworth, GA 30101-3949
Phone
(956) 335-6476
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Daniel Garza
Title
Credentialing Manager
Phone
(210) 843-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3245 Cobb Pkwy NW Ste 105
Acworth, GA 30101-3949

Mailing address

1943 Pleasant Hill Rd
Duluth, GA 30096-4625
Phone (956) 335-6476

National Provider Directory

National Provider Directory
Tax ID family
Mel Optical LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3245 Cobb Pkwy NW
Ste 105
Acworth, GA 30101

1943 Pleasant Hill Rd
Duluth, GA 30096

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1376217026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 PLEASANT HILL RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964625",
            "telephone_number": "956-335-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 COBB PKWY NW STE 105",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013949",
            "telephone_number": "956-335-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "210-843-1393"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.