Active NPI
Dua Optical Management, LLC
- Eyewear Supplier
- Paris, TX
National Provider Identifier
1689312415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DUA OPTICAL MANAGEMENT, LLC
- Practice address
- 3925 Lamar Ave
Paris, TX 75462-5211 - Phone
- (956) 335-6476
- Fax
- (561) 828-8367
- NPI assigned
- May 23, 2022
- 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 Manager
- Phone
- (561) 720-6423
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
3925 Lamar Ave
Paris, TX 75462-5211
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Phone (561) 275-2020
Other names 1
- My EyeLab
National Provider Directory
National Provider Directory- Tax ID family
- Dua Optical Management LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Carrollton, TX
- NPI 1255803490
-
- Eyewear Supplier
- Dallas, TX
- NPI 1306515861
-
- Eyewear Supplier
- Carrollton, TX
- NPI 1548732852
Locations
3915 Lamar Ave
Ste 310
Paris, TX 75462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1689312415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614140",
"telephone_number": "561-275-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754625211",
"telephone_number": "956-335-6476",
"fax_number": "561-828-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUA OPTICAL MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGED CARE MANAGER",
"authorized_official_telephone_number": "561-720-6423"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"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 Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.