Salt Optical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SALT OPTICAL LLC

Practice address

1499 Regal Row Ste 409
Dallas, TX 75247-3634

Phone

(972) 629-9853

Fax

(972) 637-7376

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Kirsten Elise Dunn, A.B.O.

Title

Master Optician

Phone

(817) 807-2873

Specialties & licenses 1

Addresses

Other names 1

• Salt Optical LLC Former legal business name

Tax ID family

Salt Optical 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.

• Salt Optical LLC

  • Eyewear Supplier
  • Trophy Club, TX
  • NPI 1902339674
  NPD tax ID

Locations

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1760913552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 REGAL ROW STE 409",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473634",
            "telephone_number": "972-629-9853",
            "fax_number": "972-637-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 REGAL ROW STE 409",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473634",
            "telephone_number": "972-629-9853",
            "fax_number": "972-637-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "MASTER OPTICIAN",
        "authorized_official_telephone_number": "817-807-2873",
        "authorized_official_credential": "A.B.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt Optical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Toni Salmon, LPC
• Tracie Morrison Salmon, LPC, LMFT, LCDC
• Brae Marvin Salmond, LPC
• Sarah Salom
• Salosilver Healthcare LLC
• Michelle Sonia Salt, ATP
• Kensey Erin Saltarelli
• Oscar R Salter, MD
• Saltwood Health LLC
• Salubrity Hub Inc

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.