Organization Active NPI

Accurate Optical Co of Laurel Inc

  • Optometrist
  • Laurel, DE
National Provider Identifier
1043397888
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ACCURATE OPTICAL CO OF LAUREL INC
Practice address
116 E Front St
Suite B
Laurel, DE 19956-1722
Phone
(302) 875-1048
Fax
(302) 875-3457
NPI assigned
Nov 1, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Ms. Linda S Williams
Title
Insurance Supervisor
Phone
(410) 749-1545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

116 E Front St
Suite B
Laurel, DE 19956-1722

Mailing address

31519 Winterplace Pkwy
Suite 2
Salisbury, MD 21804-1894
Phone (410) 749-1545

Other identifiers 1

IdentifierTypeStateIssuer
1000040240MedicaidDE

National Provider Directory

National Provider Directory

Locations

116 E Front St
Ste B
Laurel, DE 19956
Phone (302) 875-1048

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1043397888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31519 WINTERPLACE PKWY",
            "address_2": "SUITE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041894",
            "telephone_number": "410-749-1545",
            "fax_number": "410-742-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E FRONT ST",
            "address_2": "SUITE B",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199561722",
            "telephone_number": "302-875-1048",
            "fax_number": "302-875-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCURATE OPTICAL CO OF LAUREL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "410-749-1545",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040240",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.