Organization Active NPI

Adventure Optical Inc.

  • Optician
  • Stewartville, MN
National Provider Identifier
1205899077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ADVENTURE OPTICAL INC.
Practice address
1901 1St Ave NE
Stewartville, MN 55976-9318
Phone
(507) 533-4499
Fax
(507) 533-4424
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andrew G Lewis
Title
President
Phone
(507) 533-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1901 1St Ave NE
Stewartville, MN 55976-9318

Mailing address

PO Box 36
Stewartville, MN 55976-0036
Phone (507) 533-4499

National Provider Directory

National Provider Directory

Locations

1901 1st Ave NE
Stewartville, MN 55976
Phone (507) 533-4719

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205899077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559760036",
            "telephone_number": "507-533-4499",
            "fax_number": "507-533-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4499",
            "fax_number": "507-533-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-533-4499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartville, MN

Sources for this page

  • 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.