Organization Active NPI

Gila Optical, Inc.

  • Optician
  • Silver City, NM
National Provider Identifier
1972188803
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
GILA OPTICAL, INC.
Practice address
604 W Spring St
Silver City, NM 88061-4847
Phone
(575) 388-4464
Fax
(575) 388-2014
NPI assigned
Mar 11, 2021
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GILA EYECARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Michelle S. Mittica, ABOCNPI 1073300786
Title
Optician/Manager
Phone
(575) 388-4464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

604 W Spring St
Silver City, NM 88061-4847

Mailing address

604 W Spring St
Silver City, NM 88061-4847
Phone (575) 388-4464

National Provider Directory

National Provider Directory
Part of
Gila Eyecare Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1972188803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W SPRING ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614847",
            "telephone_number": "575-388-4464",
            "fax_number": "575-388-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA OPTICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GILA EYECARE, INC.",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MITTICA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OPTICIAN/MANAGER",
        "authorized_official_telephone_number": "575-388-4464",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.