Active NPI
Neosho Optical Inc
- Durable Medical Equipment & Medical Supplies
- Neosho, MO
National Provider Identifier
1477612745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2086
- Legal business name
- NEOSHO OPTICAL INC
- Practice address
- 602 W McCord St
Neosho, MO 64850-1320 - Phone
- (417) 451-3358
- Fax
- (417) 451-3413
- NPI assigned
- Dec 6, 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
- Ronald D Swift, OD
- Title
- President
- Phone
- (417) 451-3358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2086 | MO | Primary |
Addresses
Primary practice location
602 W McCord St
Neosho, MO 64850-1320
Mailing address
PO Box 340
Neosho, MO 64850-0340
Phone (417) 451-3358
National Provider Directory
National Provider DirectoryLocations
602 W McCord St
Neosho, MO 64850
Phone (417) 451-3358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1477612745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648500340",
"telephone_number": "417-451-3358",
"fax_number": "417-451-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W MCCORD ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501320",
"telephone_number": "417-451-3358",
"fax_number": "417-451-3413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEOSHO OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-451-3358",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "2086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.