Organization Active NPI

Qualls & Associates, Inc.

Doing business as Your Eye Shop

  • Optician
  • Tahlequah, OK
National Provider Identifier
1841334042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
QUALLS & ASSOCIATES, INC.
Doing business as
Your Eye Shop
Practice address
2053 Mahaney Ave
Tahlequah, OK 74464-5731
Phone
(918) 453-0002
Fax
(918) 453-0020
NPI assigned
Feb 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
Joanna Qualls
Title
Secretary Treasurer
Phone
(918) 775-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

2053 Mahaney Ave
Tahlequah, OK 74464-5731

Mailing address

2053 Mahaney Ave
Tahlequah, OK 74464-5731
Phone (918) 453-0002

Other names 1

  • Your Eye Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Qualls Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2053 Mahaney Ave
Tahlequah, OK 74464
Phone (918) 453-0002

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841334042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 MAHANEY AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645731",
            "telephone_number": "918-453-0002",
            "fax_number": "918-453-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 MAHANEY AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645731",
            "telephone_number": "918-453-0002",
            "fax_number": "918-453-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALLS & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "918-775-9900"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Eye Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

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.