Miracle Vision Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DR4082 Issued in TX

Legal business name

MIRACLE VISION OPTICAL

Practice address

4042 Miho
San Antonio, TX 78223-3822

Phone

(210) 337-5243

NPI assigned

Nov 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Adrian CastanedaNPI 1124340740

Title

Certified Optician

Phone

(210) 337-5843

Specialties & licenses 1

Addresses

Practitioners 1

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

• Adrian Castaneda, ABOC

  • Optician
  • San Antonio, TX
  • NPI 1124340740
  NPD (past) Authorized official

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195862400000",
    "number": "1962683557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 MIHO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 MIHO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233822",
            "telephone_number": "210-337-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE VISION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CERTIFIED OPTICIAN",
        "authorized_official_telephone_number": "210-337-5843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "DR4082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Minton, NURSE PRACTITIONER
• Mip Sa LLC
• Joaquin G. Mira, M.D.
• Rita Theresa Mirabelli, NURSE PRACTITIONER
• Miracle Housing and Disability Services
• Miracles Within Inc
• Lauren Mirakian, LPC-A
• Brian Miramontes
• David Alan Miramontes, M.D.
• Loretta May Miramontes, MD

• Eyewear Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2007; 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.