NPIMap

Organization Active NPI

Eyeglass World

  • Optician
  • Tyler, TX
National Provider Identifier
1508153347
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EYEGLASS WORLD
Practice address
4901 S Broadway Ave
Tyler, TX 75703-1325
Phone
(903) 508-2489
Fax
(903) 508-2494
NPI assigned
Jun 30, 2011
Organization subpart
Yes
Parent organization
NATIONAL VISION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Susan Edick
Title
MC Assistant
Phone
(678) 892-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4901 S Broadway Ave
Tyler, TX 75703-1325

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30046-5737
Phone (770) 822-3600

National Provider Directory

National Provider Directory
Tax ID family
Wal Mart Vision Ctr 2141,614 organizations share this tax ID, including this one
Part of
Wal Mart Vision Ctr 214

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4901 S Broadway Ave
Tyler, TX 75703
Phone (903) 508-2489

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1508153347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GRAYSON HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465737",
            "telephone_number": "770-822-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031325",
            "telephone_number": "903-508-2489",
            "fax_number": "903-508-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS WORLD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL VISION, INC.",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "EDICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MC ASSISTANT",
        "authorized_official_telephone_number": "678-892-3774"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.