Main Optical

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAIN OPTICAL

Practice address

73 Main St
Luzerne, PA 18709-1201

Phone

(570) 283-0870

Fax

(570) 338-3500

NPI assigned

May 17, 2023

Organization subpart

No

Name

Dr. Tammy Lynn Warmouth, ODNPI 1588645956

Title

Optometrist

Phone

(570) 283-0870

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Lynn Warmouth, OD

  • Optometrist
  • Luzerne, PA
  • NPI 1588645956
  NPD Authorized official

Locations

• Main Optical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2023.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1134810567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091201",
            "telephone_number": "570-283-0870",
            "fax_number": "570-338-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091201",
            "telephone_number": "570-283-0870",
            "fax_number": "570-338-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "WARMOUTH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "570-283-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Larry Howard Minkoff, DPM
• George Morgan, PHARMD
• Amanda Nielsen

• All providers in Luzerne, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.