Organization Active NPI

Cuthbert Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Joplin, MO
National Provider Identifier
1619159142
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18620531 Issued in MO
Legal business name
CUTHBERT OPTICAL, INC.
Practice address
102 S Main St
Joplin, MO 64801-2306
Phone
(417) 627-9797
Fax
(417) 781-6789
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
David Bruce Cuthbert
Title
Owner
Phone
(417) 627-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 18620531 MO Primary

Addresses

Primary practice location

102 S Main St
Joplin, MO 64801-2306

Mailing address

102 S Main St
Joplin, MO 64801-2306
Phone (417) 627-9797

Other identifiers 1

IdentifierTypeStateIssuer
328569603MedicaidMO

Other names 1

  • Bruce's Point of View Optical Other name

National Provider Directory

National Provider Directory

Locations

102 S Main St
Joplin, MO 64801
Phone (417) 627-9797

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1619159142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012306",
            "telephone_number": "417-627-9797",
            "fax_number": "417-781-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012306",
            "telephone_number": "417-627-9797",
            "fax_number": "417-781-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTHBERT OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CUTHBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-627-9797"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "18620531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328569603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruce's Point of View Optical",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bruce's Point of View Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.