Hometown Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

332H00000X Issued in OH

Legal business name

HOMETOWN OPTICAL LLC

Practice address

8396 Mayfield Rd
Chesterland, OH 44026-2522

Phone

(440) 729-2293

Fax

(440) 729-2296

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Jezewski

Title

Owner

Phone

(440) 729-2293

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1447550140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 MAYFIELD RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262522",
            "telephone_number": "440-729-2293",
            "fax_number": "440-729-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 MAYFIELD RD",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262522",
            "telephone_number": "440-729-2293",
            "fax_number": "440-729-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "JEZEWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-729-2293",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "332H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.