Vision Boutique Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

200001385282 Issued in NC

Legal business name

VISION BOUTIQUE INC

Practice address

212 W Dixon Blvd
Shelby, NC 28152-6522

Phone

(704) 482-9883

Fax

(704) 482-9842

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy L Morton, OPTICIAN

Title

Owner

Phone

(704) 482-9883

Specialties & licenses 1

Addresses

Tax ID family

Vision Boutique Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Boutique Inc

  • Customized Equipment (DME)
  • Shelby, NC
  • NPI 1528113230
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1366567877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526522",
            "telephone_number": "704-482-9883",
            "fax_number": "704-482-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526522",
            "telephone_number": "704-482-9883",
            "fax_number": "704-482-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-482-9883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "200001385282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh Kumar Veeravally, MD
• Janelle Marie Velasco
• Venture Therapy PLLC
• Dorothy Vaughn Vincent, M.D.
• Kimberly Dale Vinesett, NCCPSS, CADC
• Vision Boutique Inc
• Voca Corporation of North Carolina, Inc.
• Katrina Vogt, BSN, RN, CDCES
• Voices of Hope Services LLC
• Karla Von, PA

• Eyewear Supplier in Shelby, NC
• Providers in Shelby, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.