Active NPI
Myoptics Inc
Doing business as Myoptics Eyewear
- Durable Medical Equipment & Medical Supplies
- Radford, VA
National Provider Identifier
1457373409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1101001402
- Legal business name
- MYOPTICS INC
- Doing business as
- Myoptics Eyewear
- Practice address
- 1073 E Main St
Radford, VA 24141-1747 - Phone
- (540) 639-4214
- Fax
- (540) 639-9768
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Billie J Hall, OPTICIAN
- Title
- President
- Phone
- (540) 639-4214
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1101 001734 | VA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1101001402 | VA | Primary |
Addresses
Primary practice location
1073 E Main St
Radford, VA 24141-1747
Mailing address
1073 E Main St
Radford, VA 24141-1747
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VA1734 | Other | VA | EYEMED PIN # |
| 208428 | Other | VA | ANTHEM |
| 6576 | Other | VA | DAVIS VISION PANEL # |
| 009280294 | Medicaid | VA | |
| 780102 | Other | VA | ANTHEM PIN # |
| VA1402 | Other | VA | EYEMED PIN# |
Other names 1
- Myoptics Eyewear
National Provider Directory
National Provider DirectoryLocations
1073 E Main St
Radford, VA 24141
Phone (540) 639-4214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1457373409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 E MAIN ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241411747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 E MAIN ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241411747",
"telephone_number": "540-639-4214",
"fax_number": "540-639-9768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYOPTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "BILLIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-639-4214",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "1101 001734",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "1101001402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PIN #",
"identifier": "VA1734",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "208428",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION PANEL #",
"identifier": "6576",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009280294",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "780102",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED PIN#",
"identifier": "VA1402",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Myoptics Eyewear",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.