NPIMap

Organization Active NPI

20 20 Optical Inc

  • Eyewear Supplier
  • Bessemer, AL
National Provider Identifier
1841460722
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
08007709 Issued in AL
Legal business name
20 20 OPTICAL INC
Practice address
512 19TH St N
Bessemer, AL 35020-4821
Phone
(205) 424-2020
Fax
(205) 425-5665
NPI assigned
Mar 6, 2008
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Mr. Jake Clinton Goodwin, OPTICIANNPI 1588840805
Title
President
Phone
(205) 424-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 08007709 AL Primary

Addresses

Primary practice location

512 19TH St N
Bessemer, AL 35020-4821

Mailing address

512 19TH St N
Bessemer, AL 35020-4821
Phone (205) 424-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1841460722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 19TH ST N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204821",
            "telephone_number": "205-424-2020",
            "fax_number": "205-425-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 19TH ST N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204821",
            "telephone_number": "205-424-2020",
            "fax_number": "205-425-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 20 OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-424-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "08007709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.