Organization Active NPI

Opticsplus Inc

  • Eyewear Supplier
  • Greensboro, NC
National Provider Identifier
1306983366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
993 Issued in NC
Legal business name
OPTICSPLUS INC
Practice address
1607 Westover Ter
Greensboro, NC 27408-1996
Phone
(336) 288-9504
Fax
(336) 282-1957
NPI assigned
Jan 31, 2007
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. Bernard Dehoog, OPTICIAN
Title
Owner
Phone
(336) 288-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 993 NC Primary

Addresses

Primary practice location

1607 Westover Ter
Greensboro, NC 27408-1996

Mailing address

1607 Westover Ter
Greensboro, NC 27408-1996
Phone (336) 288-9504

Other identifiers 1

IdentifierTypeStateIssuer
8802029MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306983366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081996",
            "telephone_number": "336-288-9504",
            "fax_number": "336-282-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 WESTOVER TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081996",
            "telephone_number": "336-288-9504",
            "fax_number": "336-282-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICSPLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHOOG",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-288-9504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

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.