Organization Active NPI

The Spectacle Shoppe, Inc.

  • Optician
  • Wichita, KS
National Provider Identifier
1346321973
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
N/A
Legal business name
THE SPECTACLE SHOPPE, INC.
Practice address
306 N Rock Rd
Ste 10
Wichita, KS 67206-2256
Phone
(316) 686-6111
Fax
(316) 686-7665
NPI assigned
Oct 18, 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
Ms. Roxana L Miller
Title
Secretary/Treasurer
Phone
(316) 686-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X N/A Primary

Addresses

Primary practice location

306 N Rock Rd
Ste 10
Wichita, KS 67206-2256

Mailing address

306 N Rock Rd
Ste 10
Wichita, KS 67206-2256
Phone (316) 686-6111

National Provider Directory

National Provider Directory

Locations

306 N Rock Rd
Ste 10
Wichita, KS 67206
Phone (316) 686-6111

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346321973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N ROCK RD",
            "address_2": "STE 10",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062256",
            "telephone_number": "316-686-6111",
            "fax_number": "316-686-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N ROCK RD",
            "address_2": "STE 10",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062256",
            "telephone_number": "316-686-6111",
            "fax_number": "316-686-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPECTACLE SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "316-686-6111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

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.