Organization Active NPI

Lakes Region Opticians Inc

  • Optician
  • North Conway, NH
National Provider Identifier
1831235472
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
LAKES REGION OPTICIANS INC
Doing business as
Styleyes Optique
Practice address
3073 White Mountain Hwy
Memorial Hospital Box 5001
North Conway, NH 03860-5111
Phone
(603) 356-4493
Fax
(603) 356-4493
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Mr. Clayton Richard Irving, DISPENSING OPTICIAN
Title
Ceo
Phone
(603) 524-2050

Specialties & licenses 1

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

Addresses

Primary practice location

3073 White Mountain Hwy
Memorial Hospital Box 5001
North Conway, NH 03860-5111

Mailing address

3073 White Mountain Hwy
Memorial Hospital Box 5001
North Conway, NH 03860-5111
Phone (603) 356-4493

Other identifiers 1

IdentifierTypeStateIssuer
30010616MedicaidNH

Other names 1

  • Styleyes Optique Doing business as

National Provider Directory

National Provider Directory

Locations

3073 White Mountain Hwy
#5001
North Conway, NH 03860
Phone (603) 356-4493

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1831235472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "address_2": "MEMORIAL HOSPITAL BOX 5001",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-356-4493",
            "fax_number": "603-356-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "address_2": "MEMORIAL HOSPITAL BOX 5001",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605111",
            "telephone_number": "603-356-4493",
            "fax_number": "603-356-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGION OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-524-2050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010616",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Styleyes Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.