Spectcles Incdba Coffman Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

SPECTCLES INCDBA COFFMAN OPTICAL

Practice address

130 W Perkins Ave
Sandusky, OH 44870-4801

Phone

(419) 626-6530

Fax

(419) 626-6534

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan J Bender, OWNER

Title

Owner

Phone

(419) 626-6530

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497805154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704801",
            "telephone_number": "419-626-6530",
            "fax_number": "419-626-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704801",
            "telephone_number": "419-626-6530",
            "fax_number": "419-626-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTCLES INCDBA COFFMAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-626-6530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Elaine Spafford, ED.S.
• Mattie A. Sparks, L.S.W. M.A.
• Steven B Sparks, DO
• Ashley Spaulding
• Amanda Spears, RDN
• Ashton N Speer, SLP
• Elizabeth Frances Speer, RD, LD
• Joy Elizabeth Spettle
• Eryn Mackenzie Spicer
• James Warren Spicer II, PHARM.D.

• Optician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.