Active NPI
M.B. Eyecare Management, LLC
- Eyewear Supplier
- Stephenville, TX
National Provider Identifier
1578091120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- M.B. EYECARE MANAGEMENT, LLC
- Practice address
- 101 N Dale Ave
Stephenville, TX 76401-2832 - Phone
- (254) 968-4133
- NPI assigned
- May 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dey Rodriguez
- Title
- Office Manager
- Phone
- (254) 968-4133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
101 N Dale Ave
Stephenville, TX 76401-2832
Mailing address
101 N Dale Ave
Stephenville, TX 76401-2832
Phone (254) 968-4133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1578091120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N DALE AVE",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012832",
"telephone_number": "254-968-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N DALE AVE",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012832",
"telephone_number": "254-968-4133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.B. EYECARE MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "254-968-4133"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.