NPIMap

Organization Active NPI

Essilor Laboratories of America, Inc

Doing business as Bristow Optical

  • Eyewear Supplier
  • Phoenix, AZ
National Provider Identifier
1417148719
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ESSILOR LABORATORIES OF AMERICA, INC
Doing business as
Bristow Optical
Practice address
3006 N 30TH Ave
Phoenix, AZ 85017-5403
Phone
(800) 237-3112
NPI assigned
Aug 5, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
EOA HOLDING CO., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Real Goulet
Title
Sr. Vice President, National Labs
Phone
(214) 496-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3006 N 30TH Ave
Phoenix, AZ 85017-5403

Mailing address

13515 N Stemmons Fwy
Dallas, TX 75234-5765
Phone (800) 843-3937

Other names 1

  • Bristow Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essilor Laboratories of America Inc69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

3006 N 30th Ave
Phoenix, AZ 85017
Phone (800) 237-3112

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1417148719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13515 N STEMMONS FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752345765",
            "telephone_number": "800-843-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N 30TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175403",
            "telephone_number": "800-237-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSILOR LABORATORIES OF AMERICA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EOA HOLDING CO., INC.",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "REAL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT, NATIONAL LABS",
        "authorized_official_telephone_number": "214-496-4105"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristow Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.