NPIMap

Organization Active NPI

JCS Optical Inc.

  • Eyewear Supplier
  • Petoskey, MI
National Provider Identifier
1528072436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JCS OPTICAL INC.
Practice address
1159 N US Highway 31
Petoskey, MI 49770-9305
Phone
(231) 347-6054
Fax
(231) 347-0969
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Merle Cliber
Title
Owner
Phone
(810) 487-1669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1159 N US Highway 31
Petoskey, MI 49770-9305

Mailing address

220 Lynn St
Flushing, MI 48433-2662
Phone (810) 487-1669

Other names 1

  • NEW VISION OPTICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JCS Optical Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1159 N US Highway 31
Petoskey, MI 49770
Phone (231) 347-6054

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528072436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LYNN ST",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332662",
            "telephone_number": "810-487-1669",
            "fax_number": "810-605-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 N US HIGHWAY 31",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709305",
            "telephone_number": "231-347-6054",
            "fax_number": "231-347-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCS OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIBER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MERLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-487-1669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW VISION OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.