Eye - Tech Opt Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SC4729 Issued in OH

Legal business name

EYE - TECH OPT INC

Practice address

2057 Beechmont Ave
Cincinnati, OH 45230

Phone

(513) 233-3937

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joann Desalvo Stone, OPTICIAN DO

Title

Part Owner

Phone

(513) 421-2911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tower Opt Other name

Tax ID family

Dubois Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dubois Optical

  • Eyewear Supplier
  • Cincinnati, OH
  • NPI 1689846214
  NPD tax ID

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1548312093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WALNUT ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45202",
            "telephone_number": "513-421-2911",
            "fax_number": "513-421-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45230",
            "telephone_number": "513-233-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE - TECH OPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "DESALVO",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "513-421-2911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN DO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "SC4729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0374812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tower Opt",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Eyemart Express
• Eyemart Express

• Optician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.