Organization Active NPI

Shouse Optical Service, Incorporated

  • Eyewear Supplier
  • Lexington, KY
National Provider Identifier
1437375714
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SHOUSE OPTICAL SERVICE, INCORPORATED
Practice address
101 Malabu Dr
Suite #7
Lexington, KY 40503-3141
Phone
(859) 276-1594
Fax
(859) 277-6421
NPI assigned
Apr 17, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John Will Shouse, OPTICIAN
Title
President
Phone
(859) 276-1594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X KY Primary

Addresses

Primary practice location

101 Malabu Dr
Suite #7
Lexington, KY 40503-3141

Mailing address

101 Malabu Dr
Suite #7
Lexington, KY 40503-3141
Phone (859) 276-1594

National Provider Directory

National Provider Directory

Locations

101 Malabu Dr
Ste 7
Lexington, KY 40503
Phone (859) 275-1212

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437375714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MALABU DR",
            "address_2": "SUITE #7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033141",
            "telephone_number": "859-276-1594",
            "fax_number": "859-277-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MALABU DR",
            "address_2": "SUITE #7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033141",
            "telephone_number": "859-276-1594",
            "fax_number": "859-277-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUSE OPTICAL SERVICE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOUSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-276-1594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.