NPIMap

Organization Active NPI

For Eyes Optical Co of Pennsylvania

  • Eyewear Supplier
  • Wauwatosa, WI
National Provider Identifier
1003399445
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
FOR EYES OPTICAL CO OF PENNSYLVANIA
Practice address
11450 W. Burleigh St
Wauwatosa, WI 53222
Phone
(305) 557-9004
NPI assigned
Sep 12, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kim Griffin
Title
Manager
Phone
(305) 557-9004

National Provider Directory

National Provider Directory
Tax ID family
For Eyes Optical Co of Pennsylvania49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

11450 W Burleigh St
Wauwatosa, WI 53222

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

11450 W. Burleigh St
Wauwatosa, WI 53222

Mailing address

3601 SW 160TH Ave Ste 400
Miramar, FL 33027-6312
Phone (305) 557-9004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2018.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1003399445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE STE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276312",
            "telephone_number": "305-557-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 W. BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "305-557-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR EYES OPTICAL CO OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-557-9004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.