Organization Active NPI

Wholesale Optical Supply

  • Durable Medical Equipment & Medical Supplies
  • Robertsdale, AL
National Provider Identifier
1194192070
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0213534 Issued in AL
Legal business name
WHOLESALE OPTICAL SUPPLY
Practice address
23050 McAuliffe Dr
Robertsdale, AL 36567-3122
Phone
(251) 947-4300
Fax
(251) 947-4365
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Chris Montz, ABOCNPI 1588031413
Title
President
Phone
(251) 947-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0213534 AL Primary

Addresses

Primary practice location

23050 McAuliffe Dr
Robertsdale, AL 36567-3122

Mailing address

23050 McAuliffe Dr
Robertsdale, AL 36567-3122
Phone (251) 947-4300

National Provider Directory

National Provider Directory

Locations

23050 McAuliffe Dr
Robertsdale, AL 36567
Phone (251) 947-4300

397 State Highway 121 Byp
Lewisville, TX 75067

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": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1194192070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 MCAULIFFE DR",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673122",
            "telephone_number": "251-947-4300",
            "fax_number": "251-947-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 MCAULIFFE DR",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365673122",
            "telephone_number": "251-947-4300",
            "fax_number": "251-947-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESALE OPTICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "MONTZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-947-4300",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "0213534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.