Organization Active NPI

Eyedeal Optical

  • Customized Equipment (DME)
  • Paris, TN
National Provider Identifier
1811655293
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
EYEDEAL OPTICAL
Practice address
1111 Lone Oak Rd
Paris, TN 38242-4570
Phone
(269) 393-3325
NPI assigned
Dec 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Matthew Townsend, LDO
Title
Partner
Phone
(269) 393-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1111 Lone Oak Rd
Paris, TN 38242-4570

Mailing address

105 W Wood St Unit 866
Paris, TN 38242-1470
Phone (269) 393-3325

Other names 1

  • EyeDeal Optical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eyedealopticalteam@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

105 W Wood St
Unit 866
Paris, TN 38242

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1811655293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W WOOD ST UNIT 866",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382421470",
            "telephone_number": "269-393-3325",
            "fax_number": "269-393-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LONE OAK RD",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424570",
            "telephone_number": "269-393-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEAL OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "269-393-3325",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eyedealopticalteam@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Rebel",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Digital",
            "address_1": "1111 Lone Oak Rd",
            "city": "Paris",
            "state": "TN",
            "country_code": "US",
            "postal_code": "382424570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EyeDeal Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.