MAPLEWOOD EYECARE CENTER (NPI# 1629241617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629241617 |
Entity Type | Organization |
Organization Name | MAPLEWOOD EYECARE CENTER |
Other Organization Name | LARRY D GUNNELL OD |
Practice Address |
3631 Maplewood Ave Suite 2 Wichita Falls TX 76308-2149 |
Practice Telephone | 9406960296 |
Practice Fax Number | 9406960298 |
Mailing Telephone | 9406960296 |
Mailing Fax Number | 9406960298 |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |
Authorized Official Name | DR. LARRY DALE GUNNELL (OPTOMETRIST) |
Authorized Official Telephone | 9406960296 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2496TG | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DEA | MG0390637 | 01 |
Other Name | Type Code |
---|---|
Larry D Gunnell OD | Doing Business As Name - Organization |
Street Address |
3631 MAPLEWOOD AVE SUITE 2 |
City | WICHITA FALLS |
State | TX |
Zip Code | 76308-2149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265431340 | Larry D. Gunnell | Optometrist | 3631 Maplewood Ave, Suite 2, Wichita Falls, TX 76308-2149 | 2005-07-20 |
1023107828 | John Bradley Harmon | Dentist | 3631 Maplewood Ave, Suite #3, Wichita Falls, TX 76308-2149 | 2006-10-12 |
1720184864 | Richard C. Guess, D.d.s., P.a. | Dentist | 3631 Maplewood Ave, Suite 3, Wichita Falls, TX 76308-2149 | 2006-09-16 |
1437255585 | Richard Carr Guess | Dentist | 3631 Maplewood Ave, Suite 3, Wichita Falls, TX 76308-2149 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
Find all providers in zip 76308 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033487392 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 256-a Sikes Center, Wichita Falls, TX 76308-2826 | 2011-12-01 |
1376690669 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3111 Midwern Pkwy, Sikes Senter Mall Ste #200, Wichita Falls, TX 76308-2823 | 2007-01-05 |
1689766511 | Eyemasters of Texas Ltd | Eyewear Supplier (Equipment, not the service) | 256 A Sikes Center, Wichita Falls, TX 76308 | 2006-09-28 |
1417355595 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4206 Kemp Blvd, Wichita Falls, TX 76308-2845 | 2014-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
Find all providers with the same taxonomy |
City | WICHITA FALLS |
Zip Code | 76308 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.