Med Park Optical Shoppe

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MED PARK OPTICAL SHOPPE

Practice address

1300 El Paseo
Ste F
Las Cruces, NM 88001-6039

Phone

(575) 524-2666

Fax

(575) 524-4328

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Stevenson, ABOCNPI 1154709749

Title

Owner

Phone

(575) 524-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

• Paul Stevenson

  • Optician
  • Las Cruces, NM
  • NPI 1154709749
  NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1437254992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 EL PASEO",
            "address_2": "STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016039",
            "telephone_number": "575-524-2666",
            "fax_number": "575-524-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EL PASEO",
            "address_2": "STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016039",
            "telephone_number": "575-524-2666",
            "fax_number": "575-524-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PARK OPTICAL SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-524-2666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED VISION CARE",
            "identifier": "111906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Mead, LMHC
• Shanna Means, M.A. SLP-CFY
• Sharilyn M Mears, SLP
• Meca Therapies LLC
• Meca, LLC
• Ramadevi Medavarapu, M.D
• Medical Assisted Wellness LLC
• Medicina del Sol
• Katya Medina Mani
• Kenia Medina Reyes

• All providers in Las Cruces, NM
• Optician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.