Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mockingbird Optical Shop LLC

Organization Customized Equipment (DME) · NPI 1194728337

Mockingbird Optical Shop LLC provides Customized Equipment (DME) in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5430 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3539 Not confirmed with CMS for 11 years — call before visiting
Phone: (210) 340-1212
Fax: (210) 525-9617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 4487710001 (TX)

Record details

NPI number1194728337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Collins — Administrator · (210) 340-1212
NPI enumeratedMay 23, 2005
Last updated in NPPESFebruary 27, 2015
Mailing address5430 Fredericksburg Rd, Suite 100, San Antonio, TX 78229-3539

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