Organization Active NPI

Wimmer Optical

  • Eyewear Supplier
  • Martinsville, VA
National Provider Identifier
1710429592
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
8410 Issued in VA
Legal business name
WIMMER OPTICAL
Practice address
730 E Church St Ste 22
Martinsville, VA 24112-3151
Phone
(276) 403-4678
Fax
(276) 403-4679
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Mr. Michael Wimmer, LDO
Title
Owner/Optician
Phone
(276) 403-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 8410 VA Primary

Addresses

Primary practice location

730 E Church St Ste 22
Martinsville, VA 24112-3151

Mailing address

730 E Church St Ste 22
P.O Box 4629
Martinsville, VA 24112-3151
Phone (276) 403-4678

National Provider Directory

National Provider Directory

Locations

730 E Church St
Ste 22
Martinsville, VA 24112
Phone (276) 403-4678

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1710429592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E CHURCH ST STE 22",
            "address_2": "P.O BOX 4629",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123151",
            "telephone_number": "276-403-4678",
            "fax_number": "276-403-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E CHURCH ST STE 22",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123151",
            "telephone_number": "276-403-4678",
            "fax_number": "276-403-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMMER OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "276-403-4678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": "8410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.