Organization Active NPI

Michael J Adams

  • Eyewear Supplier
  • La Porte, IN
National Provider Identifier
1306904933
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MICHAEL J ADAMS
Practice address
404 Perry St
La Porte, IN 46350-3200
Phone
(219) 324-2020
Fax
(219) 324-0152
NPI assigned
Dec 5, 2006
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
Mr. Michael J Adams
Title
Owner
Phone
(219) 324-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

404 Perry St
La Porte, IN 46350-3200

Mailing address

404 Perry St
La Porte, IN 46350-3200
Phone (219) 324-2020

Other names 1

  • Lens Lab Optical Doing business as

National Provider Directory

National Provider Directory

Locations

404 Perry St
La Porte, IN 46350
Phone (219) 324-2020

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306904933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 PERRY ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503200",
            "telephone_number": "219-324-2020",
            "fax_number": "219-324-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 PERRY ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503200",
            "telephone_number": "219-324-2020",
            "fax_number": "219-324-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-324-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lens Lab Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Porte, IN

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.