Organization Active NPI

S & a Optical Inc

  • Eyewear Supplier
  • Fort Worth, TX
National Provider Identifier
1831203355
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
S & A OPTICAL INC
Practice address
309 S. Oakland Blvd.
Fort Worth, TX 76103-3762
Phone
(817) 534-4700
Fax
(817) 531-2534
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. Alexander Nason
Title
Owner
Phone
(817) 534-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

309 S. Oakland Blvd.
Fort Worth, TX 76103-3762

Mailing address

309 S. Oakland Blvd.
Fort Worth, TX 76103-3762
Phone (817) 534-4700

Other identifiers 2

IdentifierTypeStateIssuer
019759201MedicaidTX
19759201MedicaidTX

Other names 1

  • Pearle Vision 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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1831203355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S. OAKLAND BLVD.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033762",
            "telephone_number": "817-534-4700",
            "fax_number": "817-531-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S. OAKLAND BLVD.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033762",
            "telephone_number": "817-534-4700",
            "fax_number": "817-531-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & A OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "NASON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-534-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019759201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19759201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.