Optic Options Vision Products Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTIC OPTIONS VISION PRODUCTS INC

Practice address

1095 Roseville SQ
Roseville, CA 95678-2809

Phone

(916) 782-9985

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Nicholas Shashati

Title

Professional Services

Phone

(858) 414-3513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Site for Sore Eyes Doing business as

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1093387995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782809",
            "telephone_number": "916-782-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC OPTIONS VISION PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "SHASHATI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "858-414-3513"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAL",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Site for Sore Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Roseville, CA
• Providers in Roseville, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.