Organization Active NPI

Payless Optical Outlets, Inc

  • Optician
  • Montgomery, AL
National Provider Identifier
1396996104
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PAYLESS OPTICAL OUTLETS, INC
Practice address
3516 Eastdale Mall Annex
Montgomery, AL 36117
Phone
(334) 279-8895
Fax
(334) 279-6880
NPI assigned
Oct 10, 2008
Organization subpart
Yes
Parent organization
PAYLESS OPTICAL OUTLETS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Mr. Robert W. Lewis Jr.
Title
President
Phone
(225) 753-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3516 Eastdale Mall Annex
Montgomery, AL 36117

Mailing address

5214 Claycut Rd.
Baton Rouge, LA 70806-7125
Phone (225) 753-0498

National Provider Directory

National Provider Directory
Tax ID family
Payless Optical Outlet3 organizations share this tax ID, including this one
Part of
Payless Optical Outlet

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3516 Eastdale Mall Anx
Montgomery, AL 36117
Phone (334) 279-8895

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1396996104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 CLAYCUT RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067125",
            "telephone_number": "225-753-0498",
            "fax_number": "225-753-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 EASTDALE MALL ANNEX",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-279-8895",
            "fax_number": "334-279-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS OPTICAL OUTLETS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAYLESS OPTICAL OUTLETS, INC.",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-753-0498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.