The Optical Shoppe

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11364068 Issued in MO

Legal business name

THE OPTICAL SHOPPE

Practice address

2216 E 32ND Street
Suite 202
Joplin, MO 64804-3015

Phone

(417) 782-1356

Fax

(417) 782-7861

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

William R Meredith Jr., M.D.

Title

Physician/Owner

Phone

(417) 782-1356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1083813448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E 32ND STREET",
            "address_2": "SUITE 202",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043015",
            "telephone_number": "417-782-1356",
            "fax_number": "417-782-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 E 32ND STREET",
            "address_2": "SUITE 202",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043015",
            "telephone_number": "417-782-1356",
            "fax_number": "417-782-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "417-782-1356",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "11364068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of the Ozarks (ARC-Renovations Joplin)
• The H.O.U.S.E Inc.,
• The Independent Living Center, Inc.
• The Independent Living Center, Inc.
• The Mobile Speech Clinic, LLC
• Jennifer K. Theis, NP
• Stephanie Anne Theis, L.C.S.W., M.S.W.
• Dorothy N Theus, PLPC
• Thomas K Hamilton, DO P.C.
• Heather Thomas

• Durable Medical Equipment & Medical Supplies in Joplin, MO
• Providers in Joplin, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.