The Spec Shoppe of St. Joseph, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

THE SPEC SHOPPE OF ST. JOSEPH, INC.

Practice address

2925 N Belt Hwy
Saint Joseph, MO 64506-2006

Phone

(816) 364-0450

Fax

(816) 364-0487

NPI assigned

May 4, 2006

Last updated

Aug 22, 2020By 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

Jaylene A Hansen

Title

Billing

Phone

(816) 364-0450

Specialties & licenses 1

Addresses

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.

• Paul W. Beaver, O.D.

  • Optometrist
  • Sioux Center, IA
  • NPI 1033392824
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164470910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062006",
            "telephone_number": "816-364-0450",
            "fax_number": "816-364-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062006",
            "telephone_number": "816-364-0450",
            "fax_number": "816-364-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEC SHOPPE OF ST. JOSEPH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JAYLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "816-364-0450"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Eugene Tetlow
• The Hearing Connection LLC
• The Hearing Connection, LLC.
• The Orthopedic & Sports Medicine Center, LLC (Open MRI of St. Joseph)
• The Orthopedic & Sports Medicine Center, LLC
• The Whole Person, Inc.
• Holly L. Thomas-Chapman, LCSW
• Brynde Janea Thomas, FNP-C
• Elizabeth Ashley Thomas
• Hailey Grace Thomas

• Optician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Optician in Missouri

• 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.