Organization Active NPI

Dietz McLean Optical

  • Eyewear Supplier
  • San Antonio, TX
National Provider Identifier
1942395181
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DIETZ MCLEAN OPTICAL
Practice address
300 W Bitters Rd
Suite 130
San Antonio, TX 78216-1691
Phone
(210) 490-1407
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Mr. James McLean
Title
Manager/Co-Owner
Phone
(210) 490-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

300 W Bitters Rd
Suite 130
San Antonio, TX 78216-1691

Mailing address

300 W Bitters Rd
Suite 130
San Antonio, TX 78216-1691
Phone (210) 490-1407

Other identifiers 1

IdentifierTypeStateIssuer
086160101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1942395181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W BITTERS RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782161691",
            "telephone_number": "210-490-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BITTERS RD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782161691",
            "telephone_number": "210-490-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETZ MCLEAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "210-490-1407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086160101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.