Organization Active NPI

Slade Eyewear Emporium

  • Durable Medical Equipment & Medical Supplies
  • Dubuque, IA
National Provider Identifier
1760527816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SLADE EYEWEAR EMPORIUM
Practice address
806 Wacker Dr
Ste 102
Dubuque, IA 52002-5201
Phone
(563) 583-4119
Fax
(563) 583-7627
NPI assigned
Feb 20, 2007
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. Chris James Slade, OPTICIAN
Title
Owner
Phone
(563) 583-4119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

806 Wacker Dr
Ste 102
Dubuque, IA 52002-5201

Mailing address

806 Wacker Dr
Ste 102
Dubuque, IA 52002-5201
Phone (563) 583-4119

National Provider Directory

National Provider Directory

Locations

806 Wacker Dr
Ste 102
Dubuque, IA 52002
Phone (563) 583-4119

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760527816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WACKER DR",
            "address_2": "STE 102",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025201",
            "telephone_number": "563-583-4119",
            "fax_number": "563-583-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WACKER DR",
            "address_2": "STE 102",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025201",
            "telephone_number": "563-583-4119",
            "fax_number": "563-583-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADE EYEWEAR EMPORIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-583-4119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

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.