NPIMap

Organization Active NPI

Eyeglass Supermart

  • Eyewear Supplier
  • Kernersville, NC
National Provider Identifier
1629453584
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1228 Issued in NC
Legal business name
EYEGLASS SUPERMART
Practice address
329 N Main St
Kernersville, NC 27284-2882
Phone
(336) 992-0004
NPI assigned
Jul 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
John P OwensNPI 1487042263
Title
Owner
Phone
(336) 992-0004

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
Eyewear Supplier 332H00000X 1228 NC Primary

Addresses

Primary practice location

329 N Main St
Kernersville, NC 27284-2882

Mailing address

329 N Main St
Kernersville, NC 27284-2882
Phone (336) 992-0004

National Provider Directory

National Provider Directory

Locations

329 N Main St
Kernersville, NC 27284
Phone (336) 992-0004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1629453584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842882",
            "telephone_number": "336-992-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842882",
            "telephone_number": "336-992-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEGLASS SUPERMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-992-0004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.