Monroe Optical, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO000998 Issued in GA

Legal business name

MONROE OPTICAL, INC.

Practice address

1311 W Spring St
Monroe, GA 30655-1758

Phone

(770) 267-7824

Fax

(770) 207-0072

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Norman A. Nicholas, L.D.O.

Title

Owner

Phone

(770) 267-7824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578618690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551758",
            "telephone_number": "770-267-7824",
            "fax_number": "770-207-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551758",
            "telephone_number": "770-267-7824",
            "fax_number": "770-207-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-267-7824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO000998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Keri Mooney

• Optician in Monroe, GA
• Providers in Monroe, GA by specialty
• Optician in Georgia

• 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.