Organization Active NPI

Egger Optical

  • Eyewear Supplier
  • Greenville, MS
National Provider Identifier
1073712147
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EGGER OPTICAL
Practice address
505 Arnold Ave
Greenville, MS 38701-5320
Phone
(662) 332-3400
Fax
(662) 332-3402
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mrs. Amanda R. Boozer
Title
Optical Assistant
Phone
(662) 332-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

505 Arnold Ave
Greenville, MS 38701-5320

Mailing address

505 Arnold Ave
Greenville, MS 38701-5320
Phone (662) 332-3400

National Provider Directory

National Provider Directory

Locations

505 Arnold Ave
Greenville, MS 38701
Phone (662) 332-3400

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1073712147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015320",
            "telephone_number": "662-332-3400",
            "fax_number": "662-332-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015320",
            "telephone_number": "662-332-3400",
            "fax_number": "662-332-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "BOOZER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTICAL ASSISTANT",
        "authorized_official_telephone_number": "662-332-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.