Organization Active NPI

Optical 2020

  • Eyewear Supplier
  • Liberal, KS
National Provider Identifier
1124146063
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL 2020
Practice address
10 Village PLZ
Liberal, KS 67901-2762
Phone
(620) 624-2020
NPI assigned
Mar 27, 2007
Organization subpart
Yes
Parent organization
OPTICAL 2020As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Donald J Schiltz
Title
Owner
Phone
(620) 624-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

10 Village PLZ
Liberal, KS 67901-2762

Mailing address

10 Village PLZ
Liberal, KS 67901-2762
Phone (620) 624-2020

Other identifiers 1

IdentifierTypeStateIssuer
0000117569OtherKSBCBS

National Provider Directory

National Provider Directory
Part of
Optical 2020

Locations

10 Village Plz
Liberal, KS 67901
Phone (620) 624-2020

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1124146063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VILLAGE PLZ",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012762",
            "telephone_number": "620-624-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VILLAGE PLZ",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012762",
            "telephone_number": "620-624-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL 2020",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICAL 2020",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "SCHILTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-624-2020"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000117569",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.