Optical Shop Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

12545597 Issued in MO

Legal business name

OPTICAL SHOP INC

Practice address

223 E Main St
Festus, MO 63028-1952

Phone

(636) 937-2399

Fax

(636) 937-4683

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Edward Spiker

Title

Optician

Phone

(636) 937-2399

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Ann Bequette, O.D., OTR/L

  • Optometrist
  • Festus, MO
  • NPI 1972730091
  NPD (past)
• David L Green, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1821180670
  NPD (past)
• Deanne Michelle Wolk, O.D.

  • Optometrist
  • Festus, MO
  • NPI 1922236678
  NPD (past)
• Peter H Zimmerman, OD

  • Optometrist
  • Festus, MO
  • NPI 1841285061
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1073607230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-937-2399",
            "fax_number": "636-937-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-937-2399",
            "fax_number": "636-937-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "SPIKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "636-937-2399"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "12545597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321354102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chizor Odibi, M.D.
• Allex Oelkers
• Evelyn Ofili, DMD
• Michelle T Ogonowski, DDS
• Opco Festus, Mo, LLC (Festus Manor)
• Christine Barbara Ormsby, MD
• Suzanne Orr
• David William Ortmann, D.C.
• Beverly G Osborne, LPC
• Theresa Osborne, OD

• Eyewear Supplier in Festus, MO
• Providers in Festus, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.