Organization Active NPI

Twelve Thirty Optical, Inc.

  • Eyewear Supplier
  • Fairfield, OH
National Provider Identifier
1225159213
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SC1577 Issued in OH
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

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
Mrs. Donna G Irvin, LICENSED OPTICIAN
Title
Owner Contact Lens Technician
Phone
(513) 829-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23706OtherOHSPECTERA
30569OtherOHDAVIS VISION
OH1577OtherOHEYE MED
141502OtherOHCOLE MANAGED VISION

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.