20/20 Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

20/20 OPTICAL, LLC

Practice address

1302 NE Highway 99W
McMinnville, OR 97128-2723

Phone

(503) 472-5665

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori A BrownNPI 1114392941

Title

Owner

Phone

(210) 861-1393

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lori A Brown, ABO/NCLE

  • Optician
  • McMinnville, OR
  • NPI 1114392941
  NPD (past) Authorized official
• Gerald Leon Wolf, FNAO

  • Optician
  • McMinnville, OR
  • NPI 1003983644
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1609323849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 CHEVIOT HTS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NE HIGHWAY 99W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282723",
            "telephone_number": "503-472-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-861-1393"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.