MOCKINGBIRD OPTICAL SHOP LLC NPI 1194728337

NPI Information

  • NPI: 1194728337
  • Provider Name: MOCKINGBIRD OPTICAL SHOP LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 5430 FREDERICKSBURG RD
    STE 100
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 340-1212

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NPI Details

MOCKINGBIRD OPTICAL SHOP LLC is a customized equipment durable medical equipment medical supplies in San Antonio, TX. MOCKINGBIRD OPTICAL SHOP LLC NPI is 1194728337. The provider is registered as an organization entity type.

The provider's business location address is:

5430 FREDERICKSBURG RD
STE 100
SAN ANTONIO, TX
ZIP 78229-539
Phone: (210) 340-1212
Fax: (210) 525-9617

The provider's authorized official is Jay C. Collins .
The authorized official title is Administrator and has the following contact phone number (210) 340-1212.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 2/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment4487710001TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14487710001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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