Active NPI
Symeon, LLC
- Eyewear Supplier
- Newport News, VA
National Provider Identifier
1912601345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SYMEON, LLC
- Practice address
- 12101 Jefferson Ave
Newport News, VA 23602-6907 - Phone
- (956) 335-6476
- NPI assigned
- Mar 29, 2023
- 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
- Daniel Garza
- Title
- Managed Care Manager
- Phone
- (561) 275-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
12101 Jefferson Ave
Newport News, VA 23602-6907
Mailing address
3801 S Congress Ave
Palm Springs, FL 33461-4140
Phone (561) 275-2020
National Provider Directory
National Provider Directory- Tax ID family
- My Eyelab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Norfolk, VA
- NPI 1194429381
Locations
12101 Jefferson Ave
Newport News, VA 23602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1912601345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334614140",
"telephone_number": "561-275-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 JEFFERSON AVE",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236026907",
"telephone_number": "956-335-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMEON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGED CARE MANAGER",
"authorized_official_telephone_number": "561-275-2020"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.