Eye Designs Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

106442 Issued in VA

Legal business name

EYE DESIGNS OPTICAL

Practice address

1227 Maple Ave SW
Roanoke, VA 24016-4707

Phone

(540) 342-6664

Fax

(540) 342-7063

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E Merricks

Title

Managing Optician

Phone

(540) 342-6664

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275735870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-342-6664",
            "fax_number": "540-342-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 MAPLE AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164707",
            "telephone_number": "540-342-6664",
            "fax_number": "540-342-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DESIGNS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRICKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING OPTICIAN",
        "authorized_official_telephone_number": "540-342-6664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "106442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Eyewear Supplier in Virginia

• 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.