Organization Active NPI

Spare Pair Optical

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1639310345
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06746TG Issued in TX
Legal business name
SPARE PAIR OPTICAL
Practice address
1308 E Common St Ste 204
New Braunfels, TX 78130-3561
Phone
(830) 624-9099
Fax
(830) 629-5869
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mrs. Sylvia B Arizola
Title
Office Manager
Phone
(830) 237-2436

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 06746TG TX Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X H4709 TX

Addresses

Primary practice location

1308 E Common St Ste 204
New Braunfels, TX 78130-3561

Mailing address

1308 E Common St Ste 204
New Braunfels, TX 78130-3561
Phone (830) 624-9099

Other identifiers 1

IdentifierTypeStateIssuer
092447401MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Spare Pair Optical2 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.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1639310345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E COMMON ST STE 204",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303561",
            "telephone_number": "830-624-9099",
            "fax_number": "830-629-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E COMMON ST STE 204",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303561",
            "telephone_number": "830-624-9099",
            "fax_number": "830-629-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARE PAIR OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "ARIZOLA",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-237-2436",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06746TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "H4709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092447401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.