Waldo's Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

421 Issued in NC

Legal business name

WALDO'S OPTICAL

Practice address

2500 Spring Garden St.
Suite C
Greensboro, NC 27403

Phone

(336) 818-8733

NPI assigned

Apr 29, 2015

Last updated

Apr 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herbert Waldo Forrest

Title

Optician/Owner

Phone

(336) 818-8733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1144607128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SPRING GARDEN ST",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032696",
            "telephone_number": "336-818-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SPRING GARDEN ST.",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27403",
            "telephone_number": "336-818-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDO'S OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "WALDO",
        "authorized_official_title_or_position": "OPTICIAN/OWNER",
        "authorized_official_telephone_number": "336-818-8733"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.