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MOCKINGBIRD OPTICAL SHOP LLC
NPI 1194728337
Durable Medical Equipment & Medical Supplies - Customized Equipment in San Antonio, TX

Active since May 23, 2005
5430 FREDERICKSBURG RD, STE 100, SAN ANTONIO, TX 78229(210) 340-1212(210) 525-9617 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mockingbird Optical Shop Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOCKINGBIRD OPTICAL SHOP LLC (NPI 1194728337) is a healthcare organization registered as a customized equipment in San Antonio, Texas and active in the NPI registry since May 2005. The organization lists Jay C. Collins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1194728337
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMOCKINGBIRD OPTICAL SHOP LLC
Location Address5430 FREDERICKSBURG RD, STE 100San Antonio, TX 78229-3539
Mailing Address5430 Fredericksburg Rd, Suite 100San Antonio, TX 78229-3539 · (210) 340-1212 · Fax (210) 525-9617
Phone(210) 340-1212
Fax(210) 525-9617
Organization SubpartNo
Authorized OfficialJay C. CollinsAdministrator · (210) 340-1212
Enumeration DateMay 23, 2005
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1194728337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in TX · 4487710001
5430 FREDERICKSBURG RD, San Antonio, TX 78229
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Other Identifiers 1

Medicare NSC4487710001TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASHID AND RICE EYE ASSOCIATES, P.L.L.C.
Ophthalmology
5430 FREDERICKSBURG RD, SUITE 100
SAN ANTONIO, TX 78229
Bexar County (210) 340-1212
JAMES ADDISON PUCKETT RNC-NIC, MSN, NNP-BC
Nurse Practitioner (Neonatal)
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (800) 243-3839
ANISSA KAREEN MEHER-HOMJI MD
Hospitalist
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
DR. DERRICK W CRABTREE O.D.
Optometrist
5430 FREDERICKSBURG RD, STE 100
SAN ANTONIO, TX 78229
Bexar County (210) 340-1212
PENNY BENNETT PHD, MSN, NNP-BC, FN
Nurse Practitioner (Neonatal)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
DR. CLARISSA MYRA DELEON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281
ODALIZ IVETTE LOPEZ
Nurse Practitioner (Pediatrics)
5430 FREDERICKSBURG RD
SAN ANTONIO, TX 78229
Bexar County (210) 614-5539
DR. LINDSAY BETH BAKER DEVRIES M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5430 FREDERICKSBURG RD, SUITE 508
SAN ANTONIO, TX 78229
Bexar County (210) 541-8281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mockingbird Optical Shop LLC's NPI number?

The NPI number for Mockingbird Optical Shop LLC is 1194728337. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Mockingbird Optical Shop LLC located?

Mockingbird Optical Shop LLC is located at 5430 Fredericksburg Rd Ste 100, San Antonio, TX 78229. The listed phone number is (210) 340-1212.

What is Mockingbird Optical Shop LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Mockingbird Optical Shop LLC was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.