Superior Optical Services LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SUPERIOR OPTICAL SERVICES LLC

Practice address

1017 Northcliff Dr
Portland, TX 78374-1918

Phone

(361) 537-1683

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Kathy Haywood, ABOCNPI 1609108968

Title

Owner

Phone

(361) 537-1683

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Haywood, ABOC

  • Optician
  • Portland, TX
  • NPI 1609108968
  NPD (past) Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1336460005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783740014",
            "telephone_number": "361-537-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 NORTHCLIFF DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741918",
            "telephone_number": "361-537-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR OPTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-537-1683",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan St. Onge, FNP
• Jesse Stakes, LPC
• Bradley Scott Stebbins
• Jennifer R Sterns-Duncan, DDS
• Paul Stobie, M.D.
• The Bend Sport & Spine Chiropractic, LLC
• The Dental Place, PC
• Carol Meade Thompson, SLP
• Chad Mortensen Thompson, D.D.S.
• Steven D Tietze, PT

• Eyewear Supplier in Portland, TX
• Providers in Portland, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.