Diane W Whaley on the Go Optical Service

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DIANE W WHALEY ON THE GO OPTICAL SERVICE

Practice address

2801 Northside Dr
Ste B
Bossier City, LA 71111-5810

Phone

(318) 747-9227

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Wade Whaley, ABOC

Title

Owner/Optician

Phone

(318) 747-9227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1366610933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NORTHSIDE DR",
            "address_2": "STE 9",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111700",
            "telephone_number": "318-747-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NORTHSIDE DR",
            "address_2": "STE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115810",
            "telephone_number": "318-747-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE W WHALEY ON THE GO OPTICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "318-747-9227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.