Organization Active NPI

457 Optical, LLC

Doing business as 457 Optical

  • Optician
  • Bridgeville, PA
National Provider Identifier
1629113238
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
457 OPTICAL, LLC
Doing business as
457 Optical
Practice address
457 Washington Ave
Bridgeville, PA 15017-2370
Phone
(412) 257-0155
Fax
(412) 220-8643
NPI assigned
Feb 21, 2007
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Joann B Strain, O. D.NPI 1982741880
Title
President
Phone
(412) 257-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X PA Primary

Addresses

Primary practice location

457 Washington Ave
Bridgeville, PA 15017-2370

Mailing address

457 Washington Ave
Bridgeville, PA 15017-2370
Phone (412) 257-0155

Other identifiers 2

IdentifierTypeStateIssuer
001618825OtherPACLARITY VISION
A08009796OtherPADMERC-A NSC

Other names 1

  • 457 Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1629113238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172370",
            "telephone_number": "412-257-0155",
            "fax_number": "412-220-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172370",
            "telephone_number": "412-257-0155",
            "fax_number": "412-220-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "457 OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-257-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "001618825",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-A NSC",
            "identifier": "A08009796",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "457 Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.