Active NPI
Michael J Adams
- Eyewear Supplier
- La Porte, IN
National Provider Identifier
1306904933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.