Organization Active NPI

Smazy Enterprise II, LLC

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1902402662
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SMAZY ENTERPRISE II, LLC
Doing business as
My EyeLab
Practice address
101 N Stemmons Fwy Ste B
Lewisville, TX 75067-3568
Phone
(561) 275-2020
Fax
(561) 828-8367
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Daniel Garza
Title
Credentialing Manager
Phone
(561) 720-6423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

101 N Stemmons Fwy Ste B
Lewisville, TX 75067-3568

Mailing address

101 N Stemmons Fwy Ste B
Lewisville, TX 75067-3568

Other names 1

  • My EyeLab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Eyelab2 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.

Locations

101 N Stemmons Fwy
#B
Lewisville, TX 75067
Phone (469) 809-6800

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1902402662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N STEMMONS FWY STE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N STEMMONS FWY STE B",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673568",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMAZY ENTERPRISE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "561-720-6423"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.