Organization Active NPI

Stein Optical Inc

Doing business as Stein Optical

  • Eyewear Supplier
  • West Allis, WI
National Provider Identifier
1376624379
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
STEIN OPTICAL INC
Doing business as
Stein Optical
Practice address
2761 S 108TH St
West Allis, WI 53227-3232
Phone
(414) 321-2425
Fax
(414) 321-4647
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Doug Newcom
Title
Officer
Phone
(210) 524-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2761 S 108TH St
West Allis, WI 53227-3232

Mailing address

11103 West Avenue
Suite #6
San Antonio, TX 78213
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
38717000MedicaidWI

Other names 1

  • Stein Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1376624379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVENUE",
            "address_2": "SUITE #6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273232",
            "telephone_number": "414-321-2425",
            "fax_number": "414-321-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "NEWCOM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-524-6700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38717000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stein Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.