Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mockingbird Optical Shop LLC

Organization Customized Equipment (DME) · NPI 1194728337

Mockingbird Optical Shop LLC is a 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
Phone: (210) 340-1212
Fax: (210) 525-9617
Show map & directions

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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