Organization Active NPI

Owens Optical of Wetumpka Inc

  • Optician
  • Wetumpka, AL
National Provider Identifier
1699841601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OWENS OPTICAL OF WETUMPKA INC
Practice address
6255 US Highway 231
Wetumpka, AL 36092-2831
Phone
(334) 567-2282
Fax
(334) 514-1134
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Mervin Sunday
Title
Owner
Phone
(334) 567-2282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

6255 US Highway 231
Wetumpka, AL 36092-2831

Mailing address

6255 US Highway 231
Wetumpka, AL 36092-2831
Phone (334) 567-2282

Other identifiers 2

IdentifierTypeStateIssuer
51059498OtherALBLUE CROSS BLUE SHIELD
51059704OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6255 US Highway 231
Wetumpka, AL 36092
Phone (334) 567-2282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699841601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922831",
            "telephone_number": "334-567-2282",
            "fax_number": "334-514-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922831",
            "telephone_number": "334-567-2282",
            "fax_number": "334-514-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS OPTICAL OF WETUMPKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-567-2282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51059498",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51059704",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.