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MED PARK OPTICAL SHOPPE NPI 1437254992


NPI Information

NPI: 1437254992
Provider Name: MED PARK OPTICAL SHOPPE
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1300 EL PASEO
STE F
LAS CRUCES, NM
ZIP 88001
Phone: (575) 524-2666
Get Directions

MED PARK OPTICAL SHOPPE is an optician technician technologist in Las Cruces, NM. MED PARK OPTICAL SHOPPE NPI is 1437254992. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 EL PASEO
STE F
LAS CRUCES, NM
ZIP 88001-039
Phone: (575) 524-2666
Fax: (575) 524-4328

The provider's authorized official is Paul Stevenson .
The authorized official title is Owner and has the following contact phone number (575) 524-2666.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1111906OTHEREYE MED VISION CARE
20183680001MEDICARE ID-TYPE UNSPECIFIED
30183680001MEDICARE NSCNEW MEXICO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.