Optical Galerie Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

6000001047 Issued in PA

Legal business name

OPTICAL GALERIE INC

Practice address

569 E Broad St
Souderton, PA 18964-1217

Phone

(215) 723-2370

Fax

(215) 723-2370

NPI assigned

Oct 20, 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

Mark Cubranich

Title

President

Phone

(215) 723-2370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184706939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641217",
            "telephone_number": "215-723-2370",
            "fax_number": "215-723-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641217",
            "telephone_number": "215-723-2370",
            "fax_number": "215-723-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL GALERIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUBRANICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-723-2370"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "6000001047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Souderton, PA
• Providers in Souderton, PA by specialty
• Eyewear Supplier in Pennsylvania

• 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.