Active NPI
The Eyeglass Factory
- Durable Medical Equipment & Medical Supplies
- Front Royal, VA
National Provider Identifier
1235223678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1101001610
- Legal business name
- THE EYEGLASS FACTORY
- Practice address
- 1211 N. Shenandoah Ave.
Front Royal, VA 22630 - Phone
- (540) 636-2020
- Fax
- (540) 636-1001
- NPI assigned
- Oct 2, 2006
- Last updated
- Dec 9, 2010
- 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
- Tarron O Melton
- Title
- Owner
- Phone
- (540) 636-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1101001610 | VA | Primary |
Addresses
Primary practice location
1211 N. Shenandoah Ave.
Front Royal, VA 22630
Mailing address
1211 N. Shenandoah Ave.
Front Royal, VA 22630
Phone (540) 636-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009280375 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1235223678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N. SHENANDOAH AVE.",
"city": "FRONT ROYAL",
"state": "VA",
"postal_code": "22630",
"telephone_number": "540-636-2020",
"fax_number": "540-636-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N. SHENANDOAH AVE.",
"city": "FRONT ROYAL",
"state": "VA",
"postal_code": "22630",
"telephone_number": "540-636-2020",
"fax_number": "540-636-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYEGLASS FACTORY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "TARRON",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-636-2020"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "1101001610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009280375",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Front Royal, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.