NPIMap

Organization Active NPI

Sab Holdings LLC

Doing business as Tru Vision Optical

  • Eyewear Supplier
  • Gallup, NM
National Provider Identifier
1851706618
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
03-295268-006 Issued in NM
Legal business name
SAB HOLDINGS LLC
Doing business as
Tru Vision Optical
Practice address
400 N Second St
Gallup, NM 87301-5227
Phone
(505) 565-7754
Fax
(505) 488-2687
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Urvashi Bhakta
Title
Owner
Phone
(505) 870-3212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 03-295268-006 NM Primary

Addresses

Primary practice location

400 N Second St
Gallup, NM 87301-5227

Mailing address

400 N Second St
Gallup, NM 87301-5227
Phone (505) 565-7754

Other names 1

  • TRU VISION OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

400 N Second St
Gallup, NM 87301
Phone (505) 565-7754

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1851706618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015227",
            "telephone_number": "505-565-7754",
            "fax_number": "505-488-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N SECOND ST",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015227",
            "telephone_number": "505-565-7754",
            "fax_number": "505-488-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAB HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "URVASHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-870-3212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NM",
            "license": "03-295268-006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRU VISION OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.