Organization Active NPI

Houston Pierce Optical

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
National Provider Identifier
1174786511
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOUSTON PIERCE OPTICAL
Practice address
6049 Stellhorn Rd
Fort Wayne, IN 46815-5357
Phone
(260) 485-1631
Fax
(260) 485-1632
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Lisa M Goff, ABOC
Title
Office Manager
Phone
(260) 485-1631

Specialties & licenses 1

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

Addresses

Primary practice location

6049 Stellhorn Rd
Fort Wayne, IN 46815-5357

Mailing address

6049 Stellhorn Rd
Fort Wayne, IN 46815-5357
Phone (260) 485-1631

National Provider Directory

National Provider Directory

Locations

6049 Stellhorn Rd
Fort Wayne, IN 46815
Phone (260) 485-1631

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1174786511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155357",
            "telephone_number": "260-485-1631",
            "fax_number": "260-485-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 STELLHORN RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155357",
            "telephone_number": "260-485-1631",
            "fax_number": "260-485-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON PIERCE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "260-485-1631",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.