Organization Active NPI

Olean Optical Lab

  • Durable Medical Equipment & Medical Supplies
  • Bradford, PA
National Provider Identifier
1164572368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLEAN OPTICAL LAB
Practice address
8 Chestnut St
Bradford, PA 16701-2014
Phone
(814) 368-4747
Fax
(814) 368-4797
NPI assigned
Jan 11, 2007
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
Mr. Harold Wayne Morgan, OPT.
Title
Owner
Phone
(814) 368-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8 Chestnut St
Bradford, PA 16701-2014

Mailing address

8 Chestnut St
Bradford, PA 16701-2014
Phone (814) 368-4747

Other names 1

  • MORGAN OPTICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgan Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8 Chestnut St
Bradford, PA 16701
Phone (716) 373-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164572368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHESTNUT ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012014",
            "telephone_number": "814-368-4747",
            "fax_number": "814-368-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHESTNUT ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012014",
            "telephone_number": "814-368-4747",
            "fax_number": "814-368-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEAN OPTICAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-368-4747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPT."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORGAN OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

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.