Allied Optical Shop Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ALLIED OPTICAL SHOP INC.

Practice address

7405 Shallowford Rd
Suite 420
Chattanooga, TN 37421-2661

Phone

(423) 933-0010

Fax

(423) 855-8533

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Michelle Matzkin

Title

Owner

Phone

(423) 933-0010

Specialties & licenses 1

Addresses

Other names 1

• Allied Optical Shop Inc Other name

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1497115406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD",
            "address_2": "SUITE 420",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212661",
            "telephone_number": "423-933-0010",
            "fax_number": "423-855-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD",
            "address_2": "SUITE 420",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212661",
            "telephone_number": "423-933-0010",
            "fax_number": "423-855-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED OPTICAL SHOP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "MATZKIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-933-0010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Optical Shop Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alliance Physical Therapy, LLC
• Alliance PT Partners LLC
• Allied Behavioral Services, Inc.
• Allied Community Supports
• Allied Eye Associates, P.L.L.C.
• Allied Pediatrics PLLC
• Allied Professional Services, Inc
• Mary Dailey Allison, RD, LDN
• John W Allred III, MD
• Zackary Tyler Allred

• Eyewear Supplier in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.