Organization Active NPI

B & J Optical

  • Optometrist
  • London, OH
National Provider Identifier
1376739649
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
B & J OPTICAL
Practice address
16 S Main St
London, OH 43140-1211
Phone
(740) 852-0662
Fax
(740) 852-0668
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Dr. Howard D Jordan, OD
Title
Owner
Phone
(740) 852-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16 S Main St
London, OH 43140-1211

Mailing address

16 S Main St
London, OH 43140-1211
Phone (740) 852-0662

Other identifiers 1

IdentifierTypeStateIssuer
0613929MedicaidOH

National Provider Directory

National Provider Directory

Locations

16 S Main St
London, OH 43140
Phone (614) 459-4093

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1376739649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401211",
            "telephone_number": "740-852-0662",
            "fax_number": "740-852-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401211",
            "telephone_number": "740-852-0662",
            "fax_number": "740-852-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & J OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-852-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613929",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.