Organization Active NPI

Faces Eyewear, Inc

  • Optician
  • Appleton, WI
National Provider Identifier
1518259407
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FACES EYEWEAR, INC
Practice address
4155 N Galaxy Dr Ste 101
Appleton, WI 54913-2728
Phone
(920) 993-0790
Fax
(920) 993-0791
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Dan Sullivan
Title
Owner/Optician
Phone
(920) 993-0790

Specialties & licenses 1

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

Addresses

Primary practice location

4155 N Galaxy Dr Ste 101
Appleton, WI 54913-2728

Mailing address

10 E College Ave
Appleton, WI 54911-5756
Phone (920) 993-0790

National Provider Directory

National Provider Directory

Locations

4155 N Galaxy Dr
Ste 101
Appleton, WI 54913
Phone (920) 993-0790

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1518259407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115756",
            "telephone_number": "920-993-0790",
            "fax_number": "920-993-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N GALAXY DR STE 101",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549132728",
            "telephone_number": "920-993-0790",
            "fax_number": "920-993-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACES EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "920-993-0790"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.