Organization Active NPI

Optical Design, Inc

  • Eyewear Supplier
  • Phoenix, AZ
National Provider Identifier
1013103175
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL DESIGN, INC
Practice address
1530 W Glendale Ave
#101
Phoenix, AZ 85021-8578
Phone
(602) 995-5883
Fax
(602) 995-3365
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. S C Joiner
Title
Optician
Phone
(602) 995-5883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary
Eyewear Supplier 332H00000X 269 AZ

Addresses

Primary practice location

1530 W Glendale Ave
#101
Phoenix, AZ 85021-8578

Mailing address

1530 W Glendale Ave
#101
Phoenix, AZ 85021-8578
Phone (602) 995-5883

National Provider Directory

National Provider Directory

Locations

1530 W Glendale Ave
Ste 101
Phoenix, AZ 85021
Phone (602) 242-1909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1013103175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W GLENDALE AVE",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218578",
            "telephone_number": "602-995-5883",
            "fax_number": "602-995-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W GLENDALE AVE",
            "address_2": "#101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218578",
            "telephone_number": "602-995-5883",
            "fax_number": "602-995-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL DESIGN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "JOINER",
        "authorized_official_first_name": "S C",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "602-995-5883",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AZ",
            "license": "269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.