Eye Shoppe, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2003105591 Issued in MO

Legal business name

EYE SHOPPE, INC.

Practice address

115 N Main St
Saint Charles, MO 63301-2826

Phone

(636) 393-8888

Fax

(636) 393-8404

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Julie L. Emming-Thomas, OD

Title

Optometrist

Phone

(636) 393-8888

Specialties & licenses 1

Addresses

Other names 1

• The Eye Shoppe Doing business as

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1811244387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012826",
            "telephone_number": "636-393-8888",
            "fax_number": "636-393-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012826",
            "telephone_number": "636-393-8888",
            "fax_number": "636-393-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "EMMING-THOMAS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "636-393-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2003105591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Facts of Life in Home Service, Inc.

• Clinic/Center in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.