Organization Active NPI

Dubois Optical

  • Eyewear Supplier
  • Cincinnati, OH
National Provider Identifier
1689846214
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4729SC Issued in OH
Legal business name
DUBOIS OPTICAL
Practice address
645 Walnut St
Cincinnati, OH 45202-2516
Phone
(513) 421-2911
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Anthony Bryan Stone, D.O.
Title
Owner
Phone
(513) 421-2911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4729SC OH Primary

Addresses

Primary practice location

645 Walnut St
Cincinnati, OH 45202-2516

Mailing address

645 Walnut Street
Cincinnati, OH 45202
Phone (513) 421-2911

Other identifiers 1

IdentifierTypeStateIssuer
0374812MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Dubois Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1689846214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WALNUT STREET",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45202",
            "telephone_number": "513-421-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WALNUT ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022516",
            "telephone_number": "513-421-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-421-2911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "4729SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0374812",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.