Organization Active NPI

Spectacles Inc.

  • Optician
  • Fayetteville, NC
National Provider Identifier
1053507319
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SPECTACLES INC.
Practice address
5924 Cliffdale Rd Ste 112a
Fayetteville, NC 28314-0035
Phone
(910) 864-2700
Fax
(910) 864-3000
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Richard E Reichert, LICENSED OPTICIANNPI 1518183896
Title
Owner
Phone
(910) 864-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

5924 Cliffdale Rd Ste 112a
Fayetteville, NC 28314-0035

Mailing address

5924 Cliffdale Rd Ste 112a
Fayetteville, NC 28314-0035
Phone (910) 864-2700

Other identifiers 1

IdentifierTypeStateIssuer
8802035MedicaidNC

National Provider Directory

National Provider Directory

Locations

5924 Cliffdale Rd
Ste 112A
Fayetteville, NC 28314
Phone (910) 864-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1053507319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 CLIFFDALE RD STE 112A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140035",
            "telephone_number": "910-864-2700",
            "fax_number": "910-864-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 CLIFFDALE RD STE 112A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140035",
            "telephone_number": "910-864-2700",
            "fax_number": "910-864-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACLES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-864-2700",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.