NPIMap

Organization Active NPI

Champagne Optical

  • Optician
  • Lillian, AL
National Provider Identifier
1396912945
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
96872008 Issued in AL
Legal business name
CHAMPAGNE OPTICAL
Practice address
12999 6TH Street
Lillian, AL 36549-4117
Phone
(251) 962-3077
Fax
(251) 962-3083
NPI assigned
May 13, 2008
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Kathe S ChampagneNPI 1881865061
Title
Optician
Phone
(251) 962-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 96872008 AL Primary

Addresses

Primary practice location

12999 6TH Street
Lillian, AL 36549-4117

Mailing address

12999 6TH Street
Lillian, AL 36549-4117
Phone (251) 962-3077

Other names 1

  • EC Optical Former legal business name

National Provider Directory

National Provider Directory

Locations

12999 6th St
Lillian, AL 36549
Phone (251) 962-3077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1396912945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12999 6TH STREET",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494117",
            "telephone_number": "251-962-3077",
            "fax_number": "251-962-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12999 6TH STREET",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494117",
            "telephone_number": "251-962-3077",
            "fax_number": "251-962-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAGNE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "KATHE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "251-962-3077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": "96872008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EC Optical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lillian, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.