Organization Active NPI

Jada Optical Holdings Inc.

Doing business as Jabi Optics

  • Optician
  • High Point, NC
National Provider Identifier
1487480984
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
JADA OPTICAL HOLDINGS INC.
Doing business as
Jabi Optics
Practice address
152 Baker Rd
High Point, NC 27263-2758
Phone
(336) 925-7642
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Mr. Bill Eugene Hall Jr., L.D.O.NPI 1497543458
Title
President/Licensed Optician
Phone
(704) 913-5095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

152 Baker Rd
High Point, NC 27263-2758

Mailing address

152 Baker Rd
High Point, NC 27263-2758
Phone (704) 913-5095

Other names 1

  • Jabi Optics Doing business as

National Provider Directory

National Provider Directory

Locations

152 Baker Rd
High Point, NC 27263
Phone (336) 925-7642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1487480984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BAKER RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272632758",
            "telephone_number": "704-913-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BAKER RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272632758",
            "telephone_number": "336-925-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA OPTICAL HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED OPTICIAN",
        "authorized_official_telephone_number": "704-913-5095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jabi Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.