Healthcare Provider Details

I. General information

NPI: 1427574201
Provider Name (Legal Business Name): H&M OPTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 N TOWN EAST BLVD STE 112
MESQUITE TX
75150-4151
US

IV. Provider business mailing address

6415 ATHENEE LN
FRISCO TX
75035-0369
US

V. Phone/Fax

Practice location:
  • Phone: 469-804-4333
  • Fax: 561-828-8367
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

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