Active NPI
Cozza Optical Inc
- Eyewear Supplier
- Spokane, WA
National Provider Identifier
1649467820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- COZZA OPTICAL INC
- Practice address
- 421 W Riverside Ave
Suite 102
Spokane, WA 99201-0405 - Phone
- (509) 624-9209
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Cozza, LDO
- Title
- VP
- Phone
- (509) 489-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
421 W Riverside Ave
Suite 102
Spokane, WA 99201-0405
Mailing address
421 W Riverside Ave
Suite 102
Spokane, WA 99201-0405
Phone (509) 624-9209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022986 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1649467820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010405",
"telephone_number": "509-624-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010405",
"telephone_number": "509-624-9209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COZZA OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "COZZA",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "509-489-2020",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022986",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.