MRS. BLANCA E LICON (NPI# 1922208693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922208693 |
| Entity Type | Individual |
| Full Name | MRS. BLANCA E LICON |
| Practice Address |
1830 George Dieter Dr Ste 103 El Paso TX 79936-4305 |
| Practice Telephone | 9158554244 |
| Practice Fax Number | 9158554580 |
| Mailing Telephone | 9158554244 |
| Mailing Fax Number | 9158554580 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
CP00354 | TX | Eye and Vision Services Providers |
| Street Address |
1830 GEORGE DIETER DR STE 103 |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295976744 | Premier Eyewear | Technician/Technologist | 1830 George Dieter Dr Ste 103, El Paso, TX 79936-4305 | 2009-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904112 | Javier Moriel | Technician/Technologist | 4504 Montana Ave, El Paso, TX 79903-4706 | 2017-10-26 |
| 1023567294 | National Vision, Inc. | Technician/Technologist | 6101 Gateway Blvd W # Op06, El Paso, TX 79925-3416 | 2016-09-28 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1376809368 | Alejandro Ramirez | Technician/Technologist | 1821 N Zaragoza Rd Ste 208a, El Paso, TX 79936-7912 | 2012-04-04 |
| 1407120868 | Wal-mart Stores Texas LLC | Technician/Technologist | 5631 Dyer St, El Paso, TX 79904-6204 | 2012-03-02 |
| 1740563774 | Karla Magdalena Herrera | Technician/Technologist | 2400 Texas Ave, El Paso, TX 79901-2123 | 2011-09-26 |
| 1851673719 | Irma Frances Lopez | Technician/Technologist | 109 Mccarthy Ave Ste A, El Paso, TX 79915-3813 | 2011-09-15 |
| 1578870705 | Opticas Franklin Optical LLC | Technician/Technologist | 1821 N Zaragoza Rd, Ste. 208-a, El Paso, TX 79936-7912 | 2010-09-09 |
| 1245415967 | Manuel Lazos | Technician/Technologist | 3202a N Piedras St, El Paso, TX 79930-3704 | 2007-12-31 |
| 1396942405 | Premier Optical | Technician/Technologist | 2921 George Dieter Ave, Suite D, El Paso, TX 79936 | 2007-07-02 |
| Find all providers in EL PASO | ||||
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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.