Optical Specialists,Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

OPTICAL SPECIALISTS,INC

Practice address

950 Francis PL
Clayton, MO 63105-2465

Phone

(314) 726-6625

Fax

(314) 725-2830

NPI assigned

Oct 15, 2006

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Bantle

Title

President-Owner

Phone

(314) 726-6625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1396835690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-726-6625",
            "fax_number": "314-725-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-726-6625",
            "fax_number": "314-725-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SPECIALISTS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BANTLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "314-726-6625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Clayton, MO
• Providers in Clayton, MO by specialty
• Optician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.