Active NPI
Mel Dallas Love Field LLC
- Eyewear Supplier
- Dallas, TX
National Provider Identifier
1588323976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MEL DALLAS LOVE FIELD LLC
- Practice address
- 3701 W Northwest Hwy Ste 430
Dallas, TX 75220-4955 - Phone
- (956) 335-6476
- NPI assigned
- Dec 13, 2021
- 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
- Daniel Garza
- Title
- Managed Care Director
- Phone
- (561) 720-6423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
3701 W Northwest Hwy Ste 430
Dallas, TX 75220-4955
Mailing address
1784 W McDermott Dr Ste 110
Allen, TX 75013-3396
Other names 1
- My Eyelab
National Provider Directory
National Provider Directory- Tax ID family
- Mel Dallas Love Field LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Dallas, TX
- NPI 1528722527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639353600000",
"number": "1588323976",
"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": "750133396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 W NORTHWEST HWY STE 430",
"city": "DALLAS",
"state": "TX",
"postal_code": "752204955",
"telephone_number": "956-335-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEL DALLAS LOVE FIELD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGED CARE DIRECTOR",
"authorized_official_telephone_number": "561-720-6423"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Eyelab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.