Active NPI
Cunningham Optical Co Inc
Doing business as Cunningham Optical One
- Eyewear Supplier
- Anderson, IN
National Provider Identifier
1184610933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- CUNNINGHAM OPTICAL CO INC
- Doing business as
- Cunningham Optical One
- Practice address
- 5535 S Scatterfield Rd
Anderson, IN 46013-3140 - Phone
- (765) 644-7222
- Fax
- (765) 642-7608
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula K Bradley
- Title
- Vice President
- Phone
- (765) 644-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
5535 S Scatterfield Rd
Anderson, IN 46013-3140
Mailing address
5535 S Scatterfield Rd
Anderson, IN 46013-3140
Phone (765) 644-7222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1212670002 | Other | IN | MEDICARE NSC |
| 100172290A | Medicaid | IN |
Other names 1
- Cunningham Optical One
National Provider Directory
National Provider DirectoryLocations
5233 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 482-1555
1608 W McGalliard Rd
Muncie, IN 47304
Phone (765) 289-4727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366934400000",
"number": "1184610933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 S SCATTERFIELD RD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460133140",
"telephone_number": "765-644-7222",
"fax_number": "765-642-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 S SCATTERFIELD RD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460133140",
"telephone_number": "765-644-7222",
"fax_number": "765-642-7608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUNNINGHAM OPTICAL CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2013-04-26",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "765-644-7222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "1212670002",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100172290A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cunningham Optical One",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.