The Optical Shop of West Clay Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THE OPTICAL SHOP OF WEST CLAY INC

Practice address

2127 Bluestone Dr
Suite 201
Saint Charles, MO 63303-6709

Phone

(636) 947-0207

Fax

(636) 947-5996

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Jane Troup

Title

Vice President

Phone

(636) 947-0207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Michael E Weigle, O.D.

  • Optometrist
  • Saint Charles, MO
  • NPI 1295715852
  Medicare reassignment NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1073658290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 BLUESTONE DR",
            "address_2": "SUITE 201",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036709",
            "telephone_number": "636-947-0207",
            "fax_number": "636-947-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 BLUESTONE DR",
            "address_2": "SUITE 201",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036709",
            "telephone_number": "636-947-0207",
            "fax_number": "636-947-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL SHOP OF WEST CLAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "636-947-0207"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Saint Charles, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.