W-J Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

W-J OPTICAL

Doing business as

optical expressions

Practice address

2101 Broadway Ave
Yankton, SD 57078-1607

Phone

(605) 665-6181

Fax

(605) 665-6181

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. William Kingsley

Title

President

Phone

(605) 660-3687

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• optical expressions Doing business as

Tax ID family

Optical Expression2 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.

• W-J Optical

  • Eyewear Supplier
  • Watertown, SD
  • NPI 1427221589
  NPD tax ID

Practitioners 1

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

• Jodi Traub, O.D.

  • Optometrist
  • Sioux Falls, SD
  • NPI 1629037189
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1700136041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781607",
            "telephone_number": "605-665-6181",
            "fax_number": "605-665-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BROADWAY AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570781607",
            "telephone_number": "605-665-6181",
            "fax_number": "605-665-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W-J OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-660-3687",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9281330",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "optical expressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Allen Viereck, CNP
• Mary Lee Hochstein Villanueva, MD
• Emily Jo Vitek, PHARMD
• Erin Vogel
• Elizabeth Volzke, RD, LN
• Brittany Wagner, MA
• Kaija Wagner
• Stacey Wagner
• Wal-Mart Stores, Inc.
• Walgreen Co

• Optician in Yankton, SD
• Providers in Yankton, SD by specialty
• Optician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.