Opticouture LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

163667 Issued in KY

Legal business name

OPTICOUTURE LLC

Doing business as

OptiCouture

Practice address

959 Vine Street
Louisville, KY 40204-2071

Phone

(502) 966-7864

NPI assigned

May 18, 2018

Last updated

May 18, 2018By 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

Mr. Kenneth Antonio Shoats Jr., ABOC

Title

Founder and Ceo

Phone

(502) 966-7864

Specialties & licenses 1

Addresses

Other names 1

• OptiCouture Doing business as

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1194215764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WOODED WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 VINE STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042071",
            "telephone_number": "502-966-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICOUTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "SHOATS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "502-966-7864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "163667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OptiCouture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Louisville, KY
• Providers in Louisville, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.