Cullman Optical Shop Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

NOT REQUIRED IN AL Issued in AL

Legal business name

CULLMAN OPTICAL SHOP INC

Doing business as

cullman optical shop

Practice address

115 2ND Ave NE
Cullman, AL 35055-2903

Phone

(256) 739-3651

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Garry Lee Lay, OPTICANNPI 1578696639

Title

President Owner

Phone

(256) 739-3651

Specialties & licenses 1

Addresses

Other names 1

• cullman optical shop Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garry Lee Lay, OPTICAN

  • Optician
  • Cullman, AL
  • NPI 1578696639
  NPD (past) Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1497928725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 2ND AVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552903",
            "telephone_number": "256-739-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 2ND AVE NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350552903",
            "telephone_number": "256-739-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN OPTICAL SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "256-739-3651",
        "authorized_official_credential": "OPTICAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": "NOT REQUIRED IN AL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cullman optical shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Cullman, AL
• Providers in Cullman, AL by specialty
• Optician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.