Active NPI
Med Southwest, PLLC
- Optometrist
- Lubbock, TX
National Provider Identifier
1851060461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MED SOUTHWEST, PLLC
- Practice address
- 12122 Salisbury Blvd
Lubbock, TX 79424-5040 - Phone
- (806) 793-1928
- NPI assigned
- Sep 8, 2021
- 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
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
12122 Salisbury Blvd
Lubbock, TX 79424-5040
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2301420 | Med Southwest, PLLC | Certificate of waiver | Mar 25, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Med Southwest PLLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Optometrist
- Spring Branch, TX
- NPI 1720870959
-
- Optometrist
- San Marcos, TX
- NPI 1730714114
-
- Optometrist
- Houston, TX
- NPI 1740815117
-
- Optometrist
- Houston, TX
- NPI 1740951870
-
- Optometrist
- Austin, TX
- NPI 1760337760
-
- Optometrist
- Houston, TX
- NPI 1780264622
-
- Optometrist
- Flower Mound, TX
- NPI 1790428977
-
- Optometrist
- Arlington, TX
- NPI 1811878762
-
- Optometrist
- Orange, TX
- NPI 1821605197
-
- Optometrist
- San Antonio, TX
- NPI 1821751199
-
- Optometrist
- Houston, TX
- NPI 1841961968
-
- Optometrist
- Fort Worth, TX
- NPI 1841969466
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- McKinney, TX
- NPI 1740805795
-
- Optometrist
- Austin, TX
- NPI 1922346444
-
- Optometrist
- San Antonio, TX
- NPI 1902934235
-
- Optometrist
- Plano, TX
- NPI 1710408521
-
- Optometrist
- Mission Viejo, CA
- NPI 1538653878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653868800000",
"number": "1851060461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12122 SALISBURY BLVD",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794245040",
"telephone_number": "806-793-1928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED SOUTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2022-05-30",
"certification_date": "2022-05-30",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.