NPIMap

Organization Active NPI

Moultons Spectacle Shoppe

Doing business as same

  • Optician
  • North Adams, MA
National Provider Identifier
1417980509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5319 Issued in MA
Legal business name
MOULTONS SPECTACLE SHOPPE
Doing business as
same
Practice address
115 Main St
North Adams, MA 01247-3409
Phone
(413) 662-2151
Fax
(413) 664-3283
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter J Moulton, OPTICIAN
Title
Optician
Phone
(413) 662-2151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 5319 MA Primary

Addresses

Primary practice location

115 Main St
North Adams, MA 01247-3409

Mailing address

115 Main St
North Adams, MA 01247-3409
Phone (413) 662-2151

Other names 1

  • same Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moultons Spectacle Shoppe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417980509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473409",
            "telephone_number": "413-662-2151",
            "fax_number": "413-664-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012473409",
            "telephone_number": "413-662-2151",
            "fax_number": "413-664-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTONS SPECTACLE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "413-662-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Adams, MA

Sources for this page

  • 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.