Montgomery Optical Center Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0001701 Issued in AL

Legal business name

MONTGOMERY OPTICAL CENTER INC.

Doing business as

2020 Optical Shoppe

Practice address

2020 Normandie Dr
Montgomery, AL 36111-2734

Phone

(334) 281-5011

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle R Fuller

Title

Manager

Phone

(334) 281-5011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 2020 Optical Shoppe Doing business as

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740378439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORMANDIE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112734",
            "telephone_number": "334-281-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NORMANDIE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112734",
            "telephone_number": "334-281-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY OPTICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-281-5011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "AL",
            "license": "0001701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59221",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 Optical Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optician in Alabama

• 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.