NPIMap

Organization Active NPI

Optical Center

  • Optician
  • Fort Polk, LA
National Provider Identifier
1265759724
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OPTICAL CENTER
Practice address
7742 Colorado Ave BLDG 850
Fort Polk, LA 71459-5306
Phone
(337) 537-8679
NPI assigned
Apr 23, 2010
Organization subpart
Yes
Parent organization
NATIONAL VISION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Susan Edick
Title
MC Assistant
Phone
(678) 892-3774

Specialties & licenses 1

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

Addresses

Primary practice location

7742 Colorado Ave BLDG 850
Fort Polk, LA 71459-5306

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30046-5737
Phone (770) 822-3600

National Provider Directory

National Provider Directory
Tax ID family
Americas Best Contacts and Eyeglasses Inc1,621 organizations share this tax ID, including this one
Part of
Americas Best Contacts and Eyeglasses Inc

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

7742 Colorado Ave
Bldg 850
Fort Polk, LA 71459
Phone (337) 537-8679

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1265759724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 COLORADO AVE BLDG 850",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595306",
            "telephone_number": "337-537-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL VISION, INC.",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "EDICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MC ASSISTANT",
        "authorized_official_telephone_number": "678-892-3774"
    },
    "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 Fort Polk, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.