Active NPI
Main Optical
- Eyewear Supplier
- Piqua, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4713S
- Legal business name
- MAIN OPTICAL
- Practice address
- 400 N Main St
Piqua, OH 45356-2318 - Phone
- (937) 773-8023
- NPI assigned
- Mar 26, 2008
- Last updated
- Mar 28, 2008
- 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
- Jon L Frank
- Title
- Optician
- Phone
- (937) 773-8023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 4713S | OH | Primary |
Addresses
Primary practice location
400 N Main St
Piqua, OH 45356-2318
Mailing address
400 N Main St
Piqua, OH 45356-2318
Phone (937) 773-8023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097011 | OH | DME Supplier - Optician | 3173732112 | Practice locations: Piqua, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Main Optical | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Optician
- Piqua, OH
- NPI 1114040359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1669644043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562318",
"telephone_number": "937-773-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "PIQUA",
"state": "OH",
"postal_code": "453562318",
"telephone_number": "937-773-8023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "937-773-8023"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OH",
"license": "4713S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piqua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.