Organization Active NPI

Womack Opticians

  • Eyewear Supplier
  • Bemidji, MN
National Provider Identifier
1144367590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WOMACK OPTICIANS
Practice address
1405 Anne St NW
Bemidji, MN 56601-5113
Phone
(218) 759-1290
Fax
(218) 759-9212
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Greta A Seitz
Title
Business Office Coordinator
Phone
(218) 759-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1405 Anne St NW
Bemidji, MN 56601-5113

Mailing address

1405 Anne St NW
Bemidji, MN 56601-5113
Phone (218) 759-1290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144367590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015113",
            "telephone_number": "218-759-1290",
            "fax_number": "218-759-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015113",
            "telephone_number": "218-759-1290",
            "fax_number": "218-759-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "218-759-1290"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.