Active NPI
Twelve Thirty Optical, Inc.
- Eyewear Supplier
- Fairfield, OH
National Provider Identifier
1225159213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- SC1577
- Legal business name
- TWELVE THIRTY OPTICAL, INC.
- Practice address
- 1117 Magie Ave
Fairfield, OH 45014-1823 - Phone
- (513) 829-8808
- Fax
- (513) 829-5305
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna G Irvin, LICENSED OPTICIAN
- Title
- Owner Contact Lens Technician
- Phone
- (513) 829-8808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | SC1577 | OH | Primary |
Addresses
Primary practice location
1117 Magie Ave
Fairfield, OH 45014-1823
Mailing address
1117 Magie Ave
Fairfield, OH 45014-1823
Phone (513) 829-8808
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23706 | Other | OH | SPECTERA |
| 30569 | Other | OH | DAVIS VISION |
| OH1577 | Other | OH | EYE MED |
| 141502 | Other | OH | COLE MANAGED VISION |
National Provider Directory
National Provider DirectoryLocations
1117 Magie Ave
Fairfield, OH 45014
Phone (513) 829-8808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fairfield, OH
- NPI 1710004783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225159213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 MAGIE AVE",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450141823",
"telephone_number": "513-829-8808",
"fax_number": "513-829-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 MAGIE AVE",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450141823",
"telephone_number": "513-829-8808",
"fax_number": "513-829-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWELVE THIRTY OPTICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IRVIN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER CONTACT LENS TECHNICIAN",
"authorized_official_telephone_number": "513-829-8808",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICENSED OPTICIAN"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "SC1577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "23706",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "30569",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "OH1577",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLE MANAGED VISION",
"identifier": "141502",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
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.