Mel Garland 1 LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MEL GARLAND 1 LLC

Practice address

4280 Lavon Dr Ste 236B
Garland, TX 75040-2971

Phone

(469) 722-1820

Fax

(561) 828-8367

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Other names 1

• My Eye Lab Garland Doing business as

Tax ID family

Mel Garland 1 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mel Garland 1 LLC

  • Optometrist
  • Allen, TX
  • NPI 1730737206
  NPD tax ID

Locations

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1548818529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 W MCDERMOTT DR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 LAVON DR STE 236B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402971",
            "telephone_number": "469-722-1820",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL GARLAND 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Lab Garland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Lab Garland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medstork RX, LLC
• Medstork RX, LLC
• Medworld Pharmacy Inc
• Medworld Pharmacy Inc
• Uzma Fatima Mehdi, MD
• Mel Garland 2 LLC
• Gavin Mark Melmed, MD
• Ranan Ayal Mendelsberg, M.D.
• Judith Milena Mendez, FNP
• Leovares A Mendez, MD

• Eyewear Supplier in Garland, TX
• Providers in Garland, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.