NPIMap

Organization Active NPI

Vision Health Services

  • Optician
  • Mesquite, TX
National Provider Identifier
1417058553
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
17822 Issued in CA
Legal business name
VISION HEALTH SERVICES
Practice address
3434 Towne Crossing Blvd
112
Mesquite, TX 75150-2782
Phone
(972) 681-7865
Fax
(972) 681-4207
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mr. Alex Trepetin
Title
Owner Operator
Phone
(972) 681-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 17822 CA Primary

Addresses

Primary practice location

3434 Towne Crossing Blvd
112
Mesquite, TX 75150-2782

Mailing address

3434 Towne Crossing Blvd
112
Mesquite, TX 75150-2782
Phone (972) 681-7865

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision Express3 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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1417058553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 TOWNE CROSSING BLVD",
            "address_2": "112",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502782",
            "telephone_number": "972-681-7865",
            "fax_number": "972-681-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 TOWNE CROSSING BLVD",
            "address_2": "112",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502782",
            "telephone_number": "972-681-7865",
            "fax_number": "972-681-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "TREPETIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "972-681-7865",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "17822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.