Organization Active NPI

Balester Optical Company

  • Durable Medical Equipment & Medical Supplies
  • Wilkes Barre, PA
National Provider Identifier
1508050600
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
40254073 Issued in PA
Legal business name
BALESTER OPTICAL COMPANY
Practice address
388 N River St
Wilkes Barre, PA 18702-2504
Phone
(570) 824-7821
Fax
(570) 829-5312
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mr. Brian Stanton
Title
Controller
Phone
(570) 824-7821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 40254073 PA Primary

Addresses

Primary practice location

388 N River St
Wilkes Barre, PA 18702-2504

Mailing address

388 N River St
Wilkes Barre, PA 18702-2504
Phone (570) 824-7821

National Provider Directory

National Provider Directory

Locations

388 N River St
Wilkes Barre, PA 18702
Phone (570) 824-7821

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1508050600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022504",
            "telephone_number": "570-824-7821",
            "fax_number": "570-829-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022504",
            "telephone_number": "570-824-7821",
            "fax_number": "570-829-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALESTER OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "570-824-7821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "40254073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.