Mineral Wells Eye Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MINERAL WELLS EYE CENTER PLLC

Practice address

601 FM 1821
Mineral Wells, TX 76067-9119

Phone

(940) 222-8435

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Tyler McLemore, OD

Title

Doctor/Owner

Phone

(940) 222-8435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1386230399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FUTURITY LN",
            "city": "BROCK",
            "state": "TX",
            "postal_code": "760874606",
            "telephone_number": "559-538-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FM 1821",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760679119",
            "telephone_number": "940-222-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL WELLS EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "940-222-8435",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.