Ole Brook Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OLE BROOK OPTICAL, INC

Practice address

401 Hwy 51 South
Brookhaven, MS 39601

Phone

(601) 833-3318

Fax

(601) 833-7782

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas T Smith, CERTIFIED OPTICIAN

Title

President

Phone

(601) 833-3318

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1568536415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 598",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-833-3318",
            "fax_number": "601-833-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HWY 51 SOUTH",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-833-3318",
            "fax_number": "601-833-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLE BROOK OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-833-3318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07256063",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krhistyn Dimetrias Noble
• James Larry Nordin
• Nurse Practitioner Professionals, PLLC
• Samantha Occhipinti, MS, CCC-SLP
• Ole Brook Kids, P.C.
• Passionate Care Home Health,LLC
• Shannon P Patterson, DMD
• Daniel James Patti, DMD
• Ashlie L Payne, NP
• Craig Pecue-Drysdale, NREMT-P

• Eyewear Supplier in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Eyewear Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.