Organization Active NPI

New Opticians Boutique

  • Eyewear Supplier
  • Lexington, VA
National Provider Identifier
1578617569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
002622 Issued in VA
Legal business name
NEW OPTICIANS BOUTIQUE
Practice address
203 N Main St
Lexington, VA 24450-2650
Phone
(540) 463-7440
Fax
(540) 464-1888
NPI assigned
Jan 23, 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
Mrs. Alanda Kay Tomlin
Title
Licensed Optician
Phone
(540) 463-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 002622 VA Primary

Addresses

Primary practice location

203 N Main St
Lexington, VA 24450-2650

Mailing address

203 N Main St
Lexington, VA 24450-2650
Phone (540) 463-7440

Other identifiers 1

IdentifierTypeStateIssuer
146049OtherVAANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578617569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502650",
            "telephone_number": "540-463-7440",
            "fax_number": "540-464-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502650",
            "telephone_number": "540-463-7440",
            "fax_number": "540-464-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW OPTICIANS BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "ALANDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSED OPTICIAN",
        "authorized_official_telephone_number": "540-463-7440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "002622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "146049",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

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.