Cgreat LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CGREAT LLC

Doing business as

Optical Fashions

Practice address

3617 Dayton Xenia Rd
Beavercreek, OH 45432-2828

Phone

(937) 429-2270

Fax

(937) 429-5344

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Marita Montgomery

Title

Controller

Phone

(937) 429-2270

Specialties & licenses 1

Addresses

Other names 1

• Optical Fashions Doing business as

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1376912071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-2270",
            "fax_number": "937-429-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-2270",
            "fax_number": "937-429-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARITA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "937-429-2270"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Fashions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optical Fashions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.