St Charles Optical Company

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

ST CHARLES OPTICAL COMPANY

Practice address

1001 Fairgrounds Rd
Saint Charles, MO 63301-2338

Phone

(636) 946-6763

NPI assigned

Apr 4, 2007

Last updated

Aug 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lou F Miller

Title

Owner

Phone

(636) 946-6763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1679695183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FAIRGROUNDS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012338",
            "telephone_number": "636-946-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FAIRGROUNDS RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012338",
            "telephone_number": "636-946-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-946-6763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optician in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Optician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.