Active NPI
Kelli Suzanne Lewis, ABOC
- Optician
- Huntington, WV
National Provider Identifier
1184775587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- S. 7050
- Practice address
- 1508 6TH Ave
Huntington, WV 25701-2902 - Phone
- (304) 522-6256
- Fax
- (304) 522-8313
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S. 7050 | OH | Primary |
Addresses
Primary practice location
1508 6TH Ave
Huntington, WV 25701-2902
Mailing address
1508 6TH Ave
Huntington, WV 25701-2902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S. 7050 | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1184775587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012902",
"fax_number": "304-522-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 6TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257012902",
"telephone_number": "304-522-6256",
"fax_number": "304-522-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KELLI",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "ABOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "S. 7050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.