Bluebonnet Optical LLC.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BLUEBONNET OPTICAL LLC.

Practice address

1617 Parkside Cir
Round Rock, TX 78664-6966

Phone

(512) 766-3025

NPI assigned

Dec 26, 2017

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andy Lee Arellano

Title

President & Ceo

Phone

(512) 573-1173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1538675764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 PARKSIDE CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 PARKSIDE CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646966",
            "telephone_number": "512-766-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET OPTICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "512-573-1173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Optician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.