Active NPI
W-J Optical
- Eyewear Supplier
- Watertown, SD
National Provider Identifier
1427221589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9281330 | Medicaid | SD |
Other names 1
- optical expression
National Provider Directory
National Provider Directory- Tax ID family
- Optical Expression
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Yankton, SD
- NPI 1700136041
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.