Lewisville Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

881 Issued in NC

Legal business name

LEWISVILLE OPTICAL INC

Practice address

6758 Shallowford Road
Lewisville, NC 27023

Phone

(336) 945-3716

Fax

(336) 945-3001

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rickey Lee Sipe, O.D.

Title

President

Phone

(336) 945-3716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1013107259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230399",
            "telephone_number": "336-945-3716",
            "fax_number": "336-945-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 SHALLOWFORD ROAD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "27023",
            "telephone_number": "336-945-3716",
            "fax_number": "336-945-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-945-3716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.