Promenade Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMENADE OPTICAL

Practice address

650 N Coit Rd
#2325
Richardson, TX 75080-5406

Phone

(972) 238-0815

Fax

(972) 238-5458

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Manon Treybig

Title

Manager

Phone

(972) 238-0815

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1932398609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N COIT RD",
            "address_2": "#2325",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805406",
            "telephone_number": "972-238-0815",
            "fax_number": "972-238-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N COIT RD",
            "address_2": "#2325",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805406",
            "telephone_number": "972-238-0815",
            "fax_number": "972-238-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMENADE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TREYBIG",
        "authorized_official_first_name": "MANON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-238-0815"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Richardson, TX
• Providers in Richardson, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.