Tom Grudis Optical Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

156FX1800X Issued in PA

Legal business name

TOM GRUDIS OPTICAL CENTER

Practice address

428 Spruce Street
Scranton, PA 18503-1821

Phone

(570) 346-1771

Fax

(570) 346-5812

NPI assigned

Feb 14, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Koons

Title

Bookkeeper

Phone

(570) 346-1771

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tom X Grudis, OPTICIAN

  • Optician
  • Scranton, PA
  • NPI 1447273610
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1427226281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SPRUCE STREET",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031821",
            "telephone_number": "570-346-1771",
            "fax_number": "570-346-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SPRUCE STREET",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031821",
            "telephone_number": "570-346-1771",
            "fax_number": "570-346-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM GRUDIS OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "KOONS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "570-346-1771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "156FX1800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Dental Services
• Philip Tochelli III, PHARMD
• Alicia Marie Todd, C.O.T.A.
• Anthony Dominick Tolerico, PA-C
• Emily Elizabeth Tolerico
• Beverly Barone Tomasetti, NP
• Andrea Marissa Tomassoni, MD
• Theodore J Tomaszewski, MD
• Madelynn F Tomera, M.S.ED., LBS
• Kevin Tonic Jr.

• Eyewear Supplier in Scranton, PA
• Providers in Scranton, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.