Specks 'N Shades Vision Center Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DPO0000000180 Issued in TN

Legal business name

SPECKS 'N SHADES VISION CENTER INC.

Practice address

1001 E Stone Dr
Kingsport, TN 37660-3383

Phone

(423) 247-9192

Fax

(423) 245-1017

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert S. Boles, LDO

Title

President

Phone

(423) 247-9192

Specialties & licenses 1

Addresses

Other names 1

• Boles Specks 'N Shades Vision Center INC. Doing business as

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295868040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603383",
            "telephone_number": "423-247-9192",
            "fax_number": "423-245-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603383",
            "telephone_number": "423-247-9192",
            "fax_number": "423-245-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECKS 'N SHADES VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-247-9192",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "DPO0000000180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boles Specks 'N Shades Vision Center INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Kingsport, TN
• Optician in Tennessee

• 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.