Berea Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

KY 1075 Issued in KY

Legal business name

BEREA OPTICAL LLC

Practice address

400 Richmond Rd N
Ste. F
Berea, KY 40403-1015

Phone

(859) 985-0044

Fax

(859) 985-0045

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reba June FrankNPI 1306989074

Title

Owner

Phone

(859) 985-0044

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reba June Frank, OPTICIAN

  • Optician
  • Berea, KY
  • NPI 1306989074
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316162019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RICHMOND RD N",
            "address_2": "SUITE F",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031015",
            "telephone_number": "859-985-0044",
            "fax_number": "859-985-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RICHMOND RD N",
            "address_2": "STE. F",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031015",
            "telephone_number": "859-985-0044",
            "fax_number": "859-985-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "REBA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-985-0044"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "KY 1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "KY 1075",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52000130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berea Health Ministry, Inc
• Berea Healthcare, LLC (Berea Acquisition, LLC)
• Berea Hospital Inc.
• Berea Independent School
• Berea Operations, LLC
• Berea Urgent Care LLC
• Allison Walter Bethel, D.M.D.
• BHG Lviii, LLC
• BHG Lviii, LLC (BHG Medical Services Kentucky)
• BHG XXXV, LLC (BHG Berea Treatment Center)

• Optician in Berea, KY
• Providers in Berea, KY by specialty
• Optician in Kentucky

• 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.