Organization Active NPI

De la Torre Optical, Inc.

  • Eyewear Supplier
  • Dallas, TX
National Provider Identifier
1750565446
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0042192 Issued in TX
Legal business name
DE LA TORRE OPTICAL, INC.
Practice address
2120 W Colorado Blvd
Dallas, TX 75211-1900
Phone
(214) 941-3582
Fax
(214) 941-2468
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Alfred G De la Torre
Title
Owner
Phone
(214) 941-3582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 0042192 TX Primary

Addresses

Primary practice location

2120 W Colorado Blvd
Dallas, TX 75211-1900

Mailing address

2120 W Colorado Blvd
Dallas, TX 75211-1900
Phone (214) 941-3582

Other identifiers 4

IdentifierTypeStateIssuer
509158OtherTXBLUE CROSS BLUE SHIELD
19415OtherTXSPECTERA UNITEDHEALTHCARE
895555OtherTXSUPERIOR VISION
917563OtherTXBLOCKVISION OF TEXAS

National Provider Directory

National Provider Directory

Locations

2120 W Colorado Blvd
Dallas, TX 75211
Phone (214) 755-1126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1750565446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111900",
            "telephone_number": "214-941-3582",
            "fax_number": "214-941-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111900",
            "telephone_number": "214-941-3582",
            "fax_number": "214-941-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA TORRE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-941-3582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "0042192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "509158",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA UNITEDHEALTHCARE",
            "identifier": "19415",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "895555",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCKVISION OF TEXAS",
            "identifier": "917563",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.