Organization Active NPI

Neosho Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • Neosho, MO
National Provider Identifier
1477612745
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2086 Issued in MO
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

Updated by the provider on Jan 31, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.