Individual provider Active NPI

Sophia Roy

  • Optician
  • Edinburg, TX
National Provider Identifier
1619602737
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
32083003957 Issued in TX
Practice address
1124 N Closner Blvd
Edinburg, TX 78541-2556
Phone
(956) 287-4310
NPI assigned
Jul 21, 2022
Last updated
Jul 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 32083003957 TX Primary

Addresses

Primary practice location

1124 N Closner Blvd
Edinburg, TX 78541-2556

Mailing address

1124 N Closner Blvd
Edinburg, TX 78541-2556
Phone (956) 287-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32083003957TXMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Faithful Eyes Boutique, LLC Optician CurrentSince Jul 31, 2022 Accepting new patients

Locations

1124 N Closner Blvd
Edinburg, TX 78541
Phone (956) 287-4310

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1619602737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412556",
            "telephone_number": "956-287-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785412556",
            "telephone_number": "956-287-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "32083003957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.