Organization Active NPI

Qualls & Associates, Inc.

Doing business as Your Eye Shop

  • Optician
  • Sallisaw, OK
National Provider Identifier
1598809790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
QUALLS & ASSOCIATES, INC.
Doing business as
Your Eye Shop
Practice address
900 W Ruth Ave
Sallisaw, OK 74955-7268
Phone
(918) 775-9900
Fax
(918) 775-4612
NPI assigned
Feb 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Joanna Qualls
Title
Secretary Treasurer
Phone
(918) 775-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

900 W Ruth Ave
Sallisaw, OK 74955-7268

Mailing address

900 W Ruth Ave
Sallisaw, OK 74955-7268
Phone (918) 775-9900

Other names 1

  • Your Eye Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Qualls Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 W Ruth Ave
Sallisaw, OK 74955
Phone (918) 775-9900

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598809790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557268",
            "telephone_number": "918-775-9900",
            "fax_number": "918-775-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557268",
            "telephone_number": "918-775-9900",
            "fax_number": "918-775-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALLS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "918-775-9900"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Eye Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sallisaw, OK

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.