Mel McKinney LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MEL MCKINNEY LLC

Practice address

1784 W McDermott Dr Ste 110
Allen, TX 75013-3395

Phone

(469) 678-7400

Fax

(561) 828-8367

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Supervisor

Phone

(561) 433-6009

Specialties & licenses 2

Addresses

Other names 1

• My Eyelab McKinney Doing business as

Tax ID family

Mel McKinney LLC2 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.

• Mel McKinney LLC

  • Eyewear Supplier
  • McKinney, TX
  • NPI 1154975456
  NPD tax ID

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1649824939",
    "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": "750133395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 W MCDERMOTT DR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133395",
            "telephone_number": "469-678-7400",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL MCKINNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eyelab McKinney",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eyelab McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubie Joanna Mejia, LPC
• Paul M Mekaowulu
• Mel Forney LLC
• Mel Garland 1 LLC
• Mel Garland 2 LLC
• Mel Plano LLC
• Mel Rockwall LLC
• Men'S Wellness and Testosterone Center, LLC
• Catherine Susann Mentesana, D.D.S.
• Sherri Merideth, MD

• Optometrist in Allen, TX
• Providers in Allen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.