SSJ Incorporated

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SSJ INCORPORATED

Doing business as

Mando's Optical

Practice address

375 Thomas More Pkwy
Crestview Hills, KY 41017-2176

Phone

(859) 341-5383

Fax

(859) 341-3504

NPI assigned

May 2, 2007

Last updated

Jul 21, 2022By 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

Mr. Thomas C Mando, OPTICIAN

Title

Owner

Phone

(859) 341-5383

Specialties & licenses 2

Addresses

Other names 1

• Mando's Optical Doing business as

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.

• Diane H. Mando

  • Optician
  • Crestview Hills, KY
  • NPI 1194001859
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154542496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173454",
            "telephone_number": "859-341-5383",
            "fax_number": "859-495-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172176",
            "telephone_number": "859-341-5383",
            "fax_number": "859-341-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSJ INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-341-5383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mando's Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mando's Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatyana Latrice Spears, LCADC
• Specialized Alternatives for Families and Youth of Kentucky, Inc. (Safy of Northern Kentucky)
• Spectrabrace, LTD
• Spectrabrace, LTD
• Cynthia S Spicker, M.D.
• Carrie Lynn St Hilaire, APRN
• Amanda Marie Steele, RDH
• Stuart Allen Steinberg, M.D.
• Caitlyn Stith
• Kelsey M Stowe, D.P.T.

• Eyewear Supplier in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.