Provider Demographics
NPI:1245798529
Name:MEGHNA OPTICALS FRISCO LLC
Entity Type:Organization
Organization Name:MEGHNA OPTICALS FRISCO LLC
Other - Org Name:MY EYELAB RICHARDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING TEAM LEADER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-433-6009
Mailing Address - Street 1:1784 W MCDERMOTT DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3395
Mailing Address - Country:US
Mailing Address - Phone:469-409-3331
Mailing Address - Fax:561-828-8367
Practice Address - Street 1:1310 W CAMPBELL RD STE 103
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2846
Practice Address - Country:US
Practice Address - Phone:469-409-3331
Practice Address - Fax:561-828-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear SupplierGroup - Single Specialty