Organization Active NPI

W-J Optical

  • Eyewear Supplier
  • Watertown, SD
National Provider Identifier
1427221589
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
W-J OPTICAL
Doing business as
optical expression
Practice address
1300 9TH Ave SE
Watertown, SD 57201-5387
Phone
(605) 886-2038
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mr. William Robert Kingsley
Title
President
Phone
(605) 886-2038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1300 9TH Ave SE
Watertown, SD 57201-5387

Mailing address

1300 9TH Ave SE
Watertown, SD 57201-5387
Phone (605) 886-2038

Other identifiers 1

IdentifierTypeStateIssuer
9281330MedicaidSD

Other names 1

  • optical expression Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optical Expression2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1300 9th Ave SE
Watertown, SD 57201
Phone (320) 839-3413

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1427221589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015387",
            "telephone_number": "605-886-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015387",
            "telephone_number": "605-886-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W-J OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-886-2038",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281330",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "optical expression",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.