Organization Active NPI

Salt Optical LLC

  • Eyewear Supplier
  • Trophy Club, TX
National Provider Identifier
1902339674
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
7084676TX Issued in TX
Legal business name
SALT OPTICAL LLC
Practice address
9 Jamie CT
Trophy Club, TX 76262-6709
Phone
(972) 629-9853
NPI assigned
Apr 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2017

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

Authorized official

Name
Kirsten Dunn, OPTICIAN MASTER
Title
Manager
Phone
(214) 663-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 7084676TX TX Primary

Addresses

Primary practice location

9 Jamie CT
Trophy Club, TX 76262-6709

Mailing address

4628 Brimstone Dr
Fort Worth, TX 76244-6983
Phone (972) 629-9853

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491696000000",
    "number": "1902339674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 BRIMSTONE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446983",
            "telephone_number": "972-629-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JAMIE CT",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762626709",
            "telephone_number": "972-629-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-09",
        "last_updated": "2017-04-09",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-663-4238",
        "authorized_official_credential": "OPTICIAN MASTER"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "7084676TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

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