Smazy Enterprise III, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SMAZY ENTERPRISE III, LLC

Practice address

1719 S Loop 288 Ste A170
Denton, TX 76205-4809

Phone

(561) 275-2020

Fax

(561) 828-8367

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Daniel Garza

Title

Credentialing Manager

Phone

(561) 720-6423

Specialties & licenses 2

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

My Eyelab2 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.

• Smazy Enterprise III, LLC

  • Eyewear Supplier
  • Denton, TX
  • NPI 1134706914
  NPD tax ID

Locations

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1760077978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 S LOOP 288 STE A170",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054809",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 S LOOP 288 STE A170",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054809",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMAZY ENTERPRISE III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "561-720-6423"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE 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"
        }
    ]
}

• Sleep Medicine Associates of Texas, P.a.
• Sleep Physiology
• Sleep Relief of Denton
• Stacy Smathers, PA
• Smazy Enterprise III, LLC
• SMD Group LLC
• Smile Magic of Denton, PLLC
• Smile Workshop Denton, PLLC
• Smiley Dental - University
• Smiley Dental Denton

• Eyewear Supplier in Denton, TX
• Providers in Denton, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.