Louis H Nicolaus Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LOUIS H NICOLAUS OPTICAL COMPANY

Doing business as

Nicolaus Optical Company

Practice address

3301 Arden Way
Sacramento, CA 95825-2016

Phone

(916) 483-5086

Fax

(916) 483-5088

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary N Bazlen, RDO

Title

President

Phone

(916) 483-5086

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicolaus Optical Company Doing business as

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407914963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252016",
            "telephone_number": "916-483-5086",
            "fax_number": "916-483-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252016",
            "telephone_number": "916-483-5086",
            "fax_number": "916-483-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS H NICOLAUS OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAZLEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-483-5086",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ3320Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicolaus Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.