Keith Walker Opticians

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KEITH WALKER OPTICIANS

Practice address

2632 Cunningham Ave
Joplin, MO 64804-1542

Phone

(417) 623-3448

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca J LaisNPI 1467493502

Title

Optician

Phone

(417) 623-3448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Rebecca Jane Lais, OPT

  • Optician
  • Joplin, MO
  • NPI 1467493502
  NPD (past) Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1164690681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-623-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 CUNNINGHAM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041542",
            "telephone_number": "417-623-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH WALKER OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LAIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "417-623-3448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320412703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl G. Keczkemethy, RD
• Elizabeth R Keeling
• Catherine Elizabeth Keeney, CCC-SLP
• Chad Eric Keeney, DO
• Emily Leann Keeslar, DO
• John David Keitz, D.O.
• Judith A Kellenberger
• John Stewart Kelley, LPC
• Terrence Kelly, DO
• Danielle Christine Keltner

• Eyewear Supplier in Joplin, MO
• Providers in Joplin, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.