Pro-Optix, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

332B00000X Issued in WA

Legal business name

PRO-OPTIX, LLC

Practice address

10315 Silverdale Way NW
Unit # K-7
Silverdale, WA 98383-7670

Phone

(360) 698-4948

Fax

(360) 698-4948

NPI assigned

Aug 26, 2013

Last updated

Aug 26, 2013By 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

Mr. Norman Glenn Berkheimer, LDO

Title

President

Phone

(360) 698-4948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1427482413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 NW MIRAGE LN",
            "address_2": "R102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838919",
            "telephone_number": "360-698-4948",
            "fax_number": "360-698-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 SILVERDALE WAY NW",
            "address_2": "UNIT # K-7",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837670",
            "telephone_number": "360-698-4948",
            "fax_number": "360-698-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-OPTIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "BERKHEIMER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-698-4948",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.