Active NPI
Dubois Optical
- Eyewear Supplier
- Cincinnati, OH
National Provider Identifier
1689846214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4729SC
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0374812 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Dubois Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Cincinnati, OH
- NPI 1548312093
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.