NPIMap

Organization Active NPI

Potosi Optometric Center

  • Eyewear Supplier
  • Potosi, MO
National Provider Identifier
1548385818
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
T02120 Issued in MO
Legal business name
POTOSI OPTOMETRIC CENTER
Practice address
307 N Missouri St
Potosi, MO 63664-1747
Phone
(573) 438-3415
Fax
(573) 438-7667
NPI assigned
Mar 19, 2007
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
Dr. David Orie Albert, O.D.NPI 1922123298
Title
Preisent
Phone
(573) 438-3415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X T02120 MO Primary

Addresses

Primary practice location

307 N Missouri St
Potosi, MO 63664-1747

Mailing address

307 N Missouri St
PO Box 217
Potosi, MO 63664-1747
Phone (573) 438-3415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548385818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MISSOURI ST",
            "address_2": "PO BOX 217",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641747",
            "telephone_number": "573-438-3415",
            "fax_number": "573-438-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641747",
            "telephone_number": "573-438-3415",
            "fax_number": "573-438-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOSI OPTOMETRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ORIE",
        "authorized_official_title_or_position": "PREISENT",
        "authorized_official_telephone_number": "573-438-3415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "T02120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

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.