Organization Active NPI

Dal-Wad Inc

  • Eyewear Supplier
  • Dallas, TX
National Provider Identifier
1962687541
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DAL-WAD INC
Practice address
10611 Garland Rd Ste 216
Dallas, TX 75218-4800
Phone
(214) 321-6753
Fax
(214) 320-1015
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Glenn L Wilson, OPTICIAN
Title
Supervisor
Phone
(214) 957-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

10611 Garland Rd Ste 216
Dallas, TX 75218-4800

Mailing address

10611 Garland Rd Ste 216
Dallas, TX 75218-4800
Phone (214) 321-6753

National Provider Directory

National Provider Directory

Locations

10611 Garland Rd
Ste 216
Dallas, TX 75218
Phone (214) 321-6753

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1962687541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184800",
            "telephone_number": "214-321-6753",
            "fax_number": "214-320-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 216",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184800",
            "telephone_number": "214-321-6753",
            "fax_number": "214-320-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAL-WAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "214-957-3108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.