Organization Active NPI

Bespoke, Inc.

  • Optician
  • San Francisco, CA
National Provider Identifier
1114478708
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BESPOKE, INC.
Practice address
255 Potrero Ave
San Francisco, CA 94103-4814
Phone
(617) 851-5957
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Robert Varady
Title
Chief Operating Officer
Phone
(617) 851-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

255 Potrero Ave
San Francisco, CA 94103-4814

Mailing address

255 Potrero Ave
San Francisco, CA 94103-4814
Phone (617) 851-5957

Other names 1

  • Topology Doing business as

National Provider Directory

National Provider Directory

Locations

255 Potrero Ave
San Francisco, CA 94103
Phone (617) 851-5957

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1114478708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034814",
            "telephone_number": "617-851-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034814",
            "telephone_number": "617-851-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "VARADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-851-5957"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Topology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.