Active NPI
Spare Pair Optical
- Optometrist
- New Braunfels, TX
National Provider Identifier
1639310345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 06746TG
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 06746TG | TX | Primary |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092447401 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Spare Pair Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- New Braunfels, TX
- NPI 1295960466
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.