Organization Active NPI

Job Optical, Inc.

Doing business as Downtown Eyewear

  • Eyewear Supplier
  • Niles, MI
National Provider Identifier
1396056792
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOB OPTICAL, INC.
Doing business as
Downtown Eyewear
Practice address
211 N 2ND St
Niles, MI 49120-2220
Phone
(269) 687-2800
Fax
(269) 687-2800
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Jodi Lynn Wagner, ABO CERTIFIED
Title
Office Manager/ Optician
Phone
(269) 687-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X IN
Eyewear Supplier 332H00000X MI Primary

Addresses

Primary practice location

211 N 2ND St
Niles, MI 49120-2220

Mailing address

211 N 2ND St
Niles, MI 49120-2220
Phone (269) 687-2800

Other names 1

  • Downtown Eyewear Doing business as

National Provider Directory

National Provider Directory

Locations

211 N 2nd St
Niles, MI 49120
Phone (269) 687-2800

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1396056792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 2ND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202220",
            "telephone_number": "269-687-2800",
            "fax_number": "269-687-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 2ND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202220",
            "telephone_number": "269-687-2800",
            "fax_number": "269-687-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOB OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER/ OPTICIAN",
        "authorized_official_telephone_number": "269-687-2800",
        "authorized_official_credential": "ABO CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

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