Active NPI
Hans Custom Optik, Inc.
- Optician
- Los Angeles, CA
National Provider Identifier
1043415722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D3775
- Legal business name
- HANS CUSTOM OPTIK, INC.
- Practice address
- 212 N Larchmont Blvd
Los Angeles, CA 90004-3707 - Phone
- (323) 462-5195
- Fax
- (323) 462-5180
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hans W. Fiebig, OPTICIAN
- Title
- Owner
- Phone
- (323) 462-5195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D3775 | CA | Primary |
Addresses
Primary practice location
212 N Larchmont Blvd
Los Angeles, CA 90004-3707
Mailing address
212 N Larchmont Blvd
Los Angeles, CA 90004-3707
Phone (323) 462-5195
National Provider Directory
National Provider DirectoryLocations
212 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 462-5195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1043415722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043707",
"telephone_number": "323-462-5195",
"fax_number": "323-462-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N LARCHMONT BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043707",
"telephone_number": "323-462-5195",
"fax_number": "323-462-5180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANS CUSTOM OPTIK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "FIEBIG",
"authorized_official_first_name": "HANS",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-462-5195",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D3775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.