Organization Active NPI

Joachim, LLC

  • Eyewear Supplier
  • Norfolk, VA
National Provider Identifier
1104609247
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOACHIM, LLC
Practice address
9671 28TH Bay St
Norfolk, VA 23518-1910
Phone
(877) 350-3399
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Kirsten Cantrell
Title
Manager of Health Services
Phone
(561) 208-8464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

9671 28TH Bay St
Norfolk, VA 23518-1910

Mailing address

9671 28TH Bay St
Norfolk, VA 23518-1910
Phone (877) 350-3399

Other names 1

  • Stanton Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joachim LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1104609247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 28TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181910",
            "telephone_number": "877-350-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 28TH BAY ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181910",
            "telephone_number": "877-350-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOACHIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "MANAGER OF HEALTH SERVICES",
        "authorized_official_telephone_number": "561-208-8464"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanton Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.