Organization Active NPI

GW Stone Capital LLC

Doing business as The Optical Shop

  • Optometrist
  • Opelika, AL
National Provider Identifier
1700198918
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GW STONE CAPITAL LLC
Doing business as
The Optical Shop
Practice address
2496 Enterprise Dr
Opelika, AL 36801-1516
Phone
(334) 705-8803
NPI assigned
Jul 6, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Michael Stone
Title
Insurance Clerk
Phone
(334) 480-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2496 Enterprise Dr
Opelika, AL 36801-1516

Mailing address

2496 Enterprise Dr
Opelika, AL 36801-1516
Phone (334) 705-8803

Other names 1

  • The Optical Shop Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000598 AL Part B Supplier - Clinic/Group Practice 0042409914 Receives reassigned benefits from 1 practitioner
Practice locations: Phenix City, AL

National Provider Directory

National Provider Directory

Locations

2496 Enterprise Dr
Opelika, AL 36801
Phone (334) 705-8803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1700198918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 ENTERPRISE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011516",
            "telephone_number": "334-705-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 ENTERPRISE DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011516",
            "telephone_number": "334-705-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GW STONE CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "334-480-4015"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.