NPI age
21 years
Enumerated 2005-05-23
● Active Type 2 · Organization
Mockingbird Optical Shop Llc
Mockingbird Optical Shop Llc is 1 of 501 durable medical equipment & medical supplies organizations in Texas.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Collins
Administrator
Last NPPES update
2015-02-27
Source: monthly bulk 2026-05
How this organization compares
Across 501 active durable medical equipment & medical supplies providers in Texas.
NPI age
21 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-05Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
5430 Fredericksburg Rd, Ste 100
San Antonio, TX 782293539
Mailing address
5430 Fredericksburg Rd, Suite 100
San Antonio, TX 782293539
Authorized official
Jay C. Collins
Administrator
📞 2103401212
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Penny Bennett, PHD, MSN, NNP-BC, FN Nurse Practitioner NPI 1174899140
- Bethany Bland, RN Registered Nurse NPI 1427219112
- Amber Coston, PA-C Physician Assistant NPI 1902235849
- Derrick Crabtree, O.D. Optometrist NPI 1144633439
- Clarissa Deleon, M.D. Pediatrics NPI 1225266729
- Naomi Dennis, PNP-PC Nurse Practitioner NPI 1528662707
- Lindsay Devries, M.D. Pediatrics NPI 1235441593
- Mylinh Dougherty, APRN, PNP Nurse Practitioner NPI 1619402468
- William Flynn, M.D., O.D. Ophthalmology NPI 1700864089
- Angela Garza Nurse Practitioner NPI 1447609656
- Tiffany Hatchett, NNP Nurse Practitioner NPI 1790072767
- John Hood, M.D. Family Medicine NPI 1487745865
- John Isaac, M.B.B.S Pediatrics NPI 1427001890
- Margie Johnson, MSN, CPNP Nurse Practitioner NPI 1700130465
- Pamela Krause, MSN,RNC,NNP Nurse Practitioner NPI 1750761722
- Odaliz Lopez Nurse Practitioner NPI 1235023516
- Pamela Lorbieski, NNP Nurse Practitioner NPI 1861872087
- Anissa Meher-Homji, MD Hospitalist NPI 1114346327
- James Puckett, RNC-NIC, MSN, NNP-BC Nurse Practitioner NPI 1093200107
- Danielle Ramirez, MD Hospitalist NPI 1992190334
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.