Personality Eyewear

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PERSONALITY EYEWEAR

Practice address

8257 Logan Ave N
Brooklyn Park, MN 55444-1545

Phone

(612) 940-7111

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Roosevelt Lee Williams III

Title

Owner

Phone

(612) 940-7111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1861937112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 LOGAN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441545",
            "telephone_number": "612-940-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8257 LOGAN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441545",
            "telephone_number": "612-940-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALITY EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-940-7111",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.