Shouse Optical Service, Incorporated

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

Organization subpart

No

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

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ward R Ransdell, O.D.

  • Corneal and Contact Management Optometrist
  • Lexington, KY
  • NPI 1962403394
  NPD (past)
• Vivien Mary Smith, OD

  • Optometrist
  • Lexington, KY
  • NPI 1659485373
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000073323",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52902384",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Short, ANP-BC
• Sydney Short
• Sydney Lay Short
• Hollie Marie Shortridge, APRN
• Shouse Optical Service Inc
• Hannah Mae Shouse, PHARMD
• Alexis Showalter D'Arsie, OD
• Robin R Showalter, MS, LPCC
• David Shraberg, MD
• Kaitlyn Shrake, MD

• Eyewear Supplier in Lexington, KY
• Providers in Lexington, KY by specialty
• Eyewear Supplier in Kentucky

• 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.