Healthcare Provider Details

I. General information

NPI: 1730607631
Provider Name (Legal Business Name): H&M OPTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 N TOWN E BLVD
MESQUITE TX
75150
US

IV. Provider business mailing address

3012 RIDGE HOLLOW DR
PLANO TX
75023-1336
US

V. Phone/Fax

Practice location:
  • Phone: 469-804-4333
  • Fax: 469-930-0168
Mailing address:
  • Phone: 469-804-4333
  • Fax: 469-930-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: JACKIE BENNETT
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 561-433-6009