NPIMap

Organization Active NPI

Minadeo Eye Center PLLC

Doing business as Minadeo Eye Center

  • Clinic/Center
  • Mount Pleasant, TX
National Provider Identifier
1457334039
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MINADEO EYE CENTER PLLC
Doing business as
Minadeo Eye Center
Practice address
2007 N Jefferson Ave
Mount Pleasant, TX 75455-2336
Phone
(903) 572-6655
Fax
(903) 572-0213
NPI assigned
Nov 28, 2005
Last updated
Aug 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Christian Elliston
Title
Ceo
Phone
(720) 273-7449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2007 N Jefferson Ave
Mount Pleasant, TX 75455-2336

Mailing address

3900 E Mexico Ave Ste 102
Denver, CO 80210-3941
Phone (303) 800-2078

Other names 1

  • Minadeo Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

2007 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

2009 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1457334039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E MEXICO AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103941",
            "telephone_number": "303-800-2078",
            "fax_number": "303-800-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552336",
            "telephone_number": "903-572-6655",
            "fax_number": "903-572-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINADEO EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ELLISTON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-273-7449"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minadeo Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.