Umatilla Optical & Hearing Aid Center Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO3146 Issued in FL

Legal business name

UMATILLA OPTICAL & HEARING AID CENTER INC

Doing business as

Kathleen Bastone

Practice address

570 Hatfield Dr
Umatilla, FL 32784-8986

Phone

(352) 669-6888

Fax

(352) 669-1015

NPI assigned

Feb 6, 2008

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Bastone, LDONPI 1013019603

Title

Owner

Phone

(352) 669-6888

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Kathleen Bastone Doing business as

Tax ID family

Kathleen Bastone2 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.

• Umatilla Optical and Hearing Aid Center, Inc

  • Optician
  • Umatilla, FL
  • NPI 1255501946
  NPD tax ID

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.

• Kathleen Bastone

  • Optician
  • Umatilla, FL
  • NPI 1013019603
  Authorized official Same address or phone

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1841478484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 HATFIELD DR",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327848986",
            "telephone_number": "352-669-6888",
            "fax_number": "352-669-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 HATFIELD DR",
            "city": "UMATILLA",
            "state": "FL",
            "postal_code": "327848986",
            "telephone_number": "352-669-6888",
            "fax_number": "352-669-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMATILLA OPTICAL & HEARING AID CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "BASTONE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-669-6888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "DO3146",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AS2700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086623701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610136400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL3146",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P TAN NUMBER",
            "identifier": "0647230001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2100002",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086623700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PEDICARE",
            "identifier": "10449",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen Bastone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betty Ann Dupont Stapleton, ARNP
• The Recovery Village
• The Recovery Village at Umatilla
• Richard John Thomas, MA
• Umatilla Chiropractic LLC
• Umatilla Optical and Hearing Aid Center, Inc
• Umatilla Pharmacy Inc (Umatilla Pharmacy)
• Jordan Andrew Walker, PA-C
• Wallace Health, LLC
• Colleen Wallace

• Eyewear Supplier in Umatilla, FL
• Providers in Umatilla, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.