NPIMap

Organization Active NPI

Main Optical

  • Optometrist
  • Luzerne, PA
National Provider Identifier
1134810567
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAIN OPTICAL
Doing business as
Main Optical
Practice address
73 Main St
Luzerne, PA 18709-1201
Phone
(570) 283-0870
Fax
(570) 338-3500
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Dr. Tammy Lynn Warmouth, ODNPI 1588645956
Title
Optometrist
Phone
(570) 283-0870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Optician 156FX1800X

Addresses

Primary practice location

73 Main St
Luzerne, PA 18709-1201

Mailing address

73 Main St
Luzerne, PA 18709-1201
Phone (570) 283-0870

Other names 1

  • Main Optical Doing business as

National Provider Directory

National Provider Directory

Locations

73 Main St
Luzerne, PA 18709
Phone (570) 283-0870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_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"
        }
    ]
}

Other providers in Luzerne, PA

Sources for this page

  • 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.