Active NPI
Eyeline Optical East
- Eyewear Supplier
- Ridgeland, MS
National Provider Identifier
1548474331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EYELINE OPTICAL EAST
- Practice address
- 310 Highway 51 North
Suite B
Ridgeland, MS 39157-3425 - Phone
- (601) 607-7667
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Giurintano
- Title
- President
- Phone
- (601) 607-7667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
310 Highway 51 North
Suite B
Ridgeland, MS 39157-3425
Mailing address
310 Highway 51 North
Suite B
Ridgeland, MS 39157-3425
Phone (601) 607-7667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04284596 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
310 Highway 51
#B
Ridgeland, MS 39157
Phone (601) 607-7667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1548474331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HIGHWAY 51 NORTH",
"address_2": "SUITE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573425",
"telephone_number": "601-607-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HIGHWAY 51 NORTH",
"address_2": "SUITE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573425",
"telephone_number": "601-607-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYELINE OPTICAL EAST",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIURINTANO",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-607-7667"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04284596",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
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.