Active NPI
De la Torre Optical, Inc.
- Eyewear Supplier
- Dallas, TX
National Provider Identifier
1750565446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 0042192
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509158 | Other | TX | BLUE CROSS BLUE SHIELD |
| 19415 | Other | TX | SPECTERA UNITEDHEALTHCARE |
| 895555 | Other | TX | SUPERIOR VISION |
| 917563 | Other | TX | BLOCKVISION OF TEXAS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Fort Worth, TX
- NPI 1215980537
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.