Organization Active NPI

Hans Custom Optik, Inc.

  • Optician
  • Los Angeles, CA
National Provider Identifier
1043415722
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D3775 Issued in CA
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

Updated by the provider on Apr 13, 2009

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.