Organization Active NPI

Fashion Forward Optical

  • Optician
  • Omaha, NE
National Provider Identifier
1780221515
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FASHION FORWARD OPTICAL
Practice address
4910 Dodge St Ste 107
Omaha, NE 68132-2978
Phone
(402) 686-0908
Fax
(402) 660-2672
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Mr. Andrew Ryan ThompsonNPI 1790929412
Title
Owner
Phone
(402) 686-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4910 Dodge St Ste 107
Omaha, NE 68132-2978

Mailing address

4910 Dodge St Ste 107
Omaha, NE 68132-2978
Phone (402) 686-0908

Other names 1

  • Fashion Forward Optical Other name

National Provider Directory

National Provider Directory

Locations

4910 Dodge St
Ste 107
Omaha, NE 68132
Phone (402) 686-0908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1780221515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 DODGE ST STE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322978",
            "telephone_number": "402-686-0908",
            "fax_number": "402-660-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 DODGE ST STE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322978",
            "telephone_number": "402-686-0908",
            "fax_number": "402-660-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION FORWARD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-686-0908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fashion Forward Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.