Eyecare Pro Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EYECARE PRO OPTICAL LLC

Practice address

3811 S Cooper St Ste 1004
Arlington, TX 76015-4134

Phone

(817) 468-5900

Fax

(817) 468-5901

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Willie Wright

Title

Owner

Phone

(817) 468-5900

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1811648355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 S COOPER ST STE 1004",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154134",
            "telephone_number": "817-468-5900",
            "fax_number": "817-468-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 S COOPER ST STE 1004",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154134",
            "telephone_number": "817-468-5900",
            "fax_number": "817-468-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PRO OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-468-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.