Michael'S Optical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

D 3272 Issued in CA

Legal business name

MICHAEL'S OPTICAL INC.

Practice address

145 Niblick Rd
Paso Robles, CA 93446-4844

Phone

(805) 238-5770

Fax

(805) 238-4047

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Gene Nutt

Title

President

Phone

(805) 466-5770

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Michael'S Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael'S Optical Inc.

  • Durable Medical Equipment & Medical Supplies
  • San Luis Obispo, CA
  • NPI 1790886968
  NPD tax ID

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831290014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 EL CAMINO REAL",
            "address_2": "B",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225358",
            "telephone_number": "805-466-5770",
            "fax_number": "805-466-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NIBLICK RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464844",
            "telephone_number": "805-238-5770",
            "fax_number": "805-238-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL'S OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-466-5770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "D 3272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "DX003272F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerald Brent Meek, O.D.
• Zenaida Mejia-Lowell
• Brenda G Mendoza, P.T.A.
• Gabrielle Christina Menendez, OTD, OTR/L
• Menm, LLC
• Michelle Timenovich O.D., a Professional Optometry Corp.
• Don R Miller, D.D.S.
• Grace Miller, RN, BSN, PHN
• Nicola Miller, RN, PHN
• Miracle-Ear, Inc.

• Durable Medical Equipment & Medical Supplies in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.