Organization Active NPI

Eye Fashion Factory

  • Optician
  • St.Louis, MO
National Provider Identifier
1841314549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EYE FASHION FACTORY
Practice address
5800 Natural Bridge
Stlouis, MO 63120
Phone
(314) 389-2425
Fax
(314) 389-7654
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Anthony Dobynes Sr.
Title
Optician
Phone
(314) 389-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

5800 Natural Bridge
Stlouis, MO 63120

Mailing address

5800 Natural Bridge
Stlouis, MO 63120
Phone (314) 389-2425

Other identifiers 2

IdentifierTypeStateIssuer
104451OtherMOEYE MED
22468OtherMOHEALTHCARE USA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841314549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 NATURAL BRIDGE",
            "city": "STLOUIS",
            "state": "MO",
            "postal_code": "63120",
            "telephone_number": "314-389-2425",
            "fax_number": "314-389-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 NATURAL BRIDGE",
            "city": "STLOUIS",
            "state": "MO",
            "postal_code": "63120",
            "telephone_number": "314-389-2425",
            "fax_number": "314-389-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE FASHION FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBYNES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "314-389-2425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "104451",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "22468",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St.Louis, MO

Sources for this page

  • 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.