Organization Active NPI

Tri State Muller Optical Inc

  • Eyewear Supplier
  • Jackson, TN
National Provider Identifier
1760683221
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
10155120600000 Issued in TN
Legal business name
TRI STATE MULLER OPTICAL INC
Practice address
203 W Baltimore St
Jackson, TN 38301-6103
Phone
(731) 422-1601
Fax
(731) 422-5922
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mr. Billy Bowie
Title
General Manager
Phone
(731) 422-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 10155120600000 TN Primary

Addresses

Primary practice location

203 W Baltimore St
Jackson, TN 38301-6103

Mailing address

203 W Baltimore St
Jackson, TN 38301-6103
Phone (731) 422-1601

Other names 1

  • muller optical co Doing business as

National Provider Directory

National Provider Directory

Locations

203 W Baltimore St
Jackson, TN 38301
Phone (731) 422-1601

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1760683221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W BALTIMORE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016103",
            "telephone_number": "731-422-1601",
            "fax_number": "731-422-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W BALTIMORE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016103",
            "telephone_number": "731-422-1601",
            "fax_number": "731-422-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE MULLER OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BOWIE",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "731-422-1601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "10155120600000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "muller optical co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.