Organization Active NPI

Mayer Optical Shop, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Maplewood, MN
National Provider Identifier
1831197409
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYER OPTICAL SHOP, INC.
Practice address
1736 Cope Ave E
Maplewood, MN 55109-2610
Phone
(651) 770-2975
Fax
(651) 748-1452
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Mr. Otto P. Mayer Jr., OPTICIAN
Title
Optician/President
Phone
(651) 770-2975

Specialties & licenses 1

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

Addresses

Primary practice location

1736 Cope Ave E
Maplewood, MN 55109-2610

Mailing address

1736 Cope Ave E
Maplewood, MN 55109-2610
Phone (651) 770-2975

Other names 1

  • Mayer Optical Shop Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1831197409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092610",
            "telephone_number": "651-770-2975",
            "fax_number": "651-748-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 COPE AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092610",
            "telephone_number": "651-770-2975",
            "fax_number": "651-748-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER OPTICAL SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OPTICIAN/PRESIDENT",
        "authorized_official_telephone_number": "651-770-2975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "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": [
        {
            "organization_name": "Mayer Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.