Eagle Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EAGLE OPTICAL INC

Practice address

3705 Midway Dr
Baker City, OR 97814-1456

Phone

(541) 523-2020

Fax

(541) 523-4965

NPI assigned

Mar 19, 2008

Last updated

May 11, 2011By 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

Nicholas J Cox, OPTICIANNPI 1376711739

Title

Owner

Phone

(541) 523-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Nicholas James Cox, ABO

  • Optician
  • Baker City, OR
  • NPI 1376711739
  NPD Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1497926349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-2020",
            "fax_number": "541-523-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MIDWAY DR",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141456",
            "telephone_number": "541-523-2020",
            "fax_number": "541-523-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-2020",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Ann Dubosch, CADC II CGAC I
• Kenneth Curtis Dudley, PH.D.
• Sarah Anne Helen Dunkle
• Michael Roy Dunn
• Eagle Cap Clinic Inc PC
• Eastern Oregon Audiology Inc
• Eastern Oregon Medical Associates,LLC
• Eastern Oregon Recovery and Medical LLC (Tamarack Health Clinic LLC)
• Victoria R Edmundson, RPH
• Christine H Eidson, LMT

• Eyewear Supplier in Baker City, OR
• Providers in Baker City, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.