Couture Eyewear

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1638 Issued in NC

Legal business name

COUTURE EYEWEAR

Practice address

1030 S Main St
Suite P
Kernersville, NC 27284-7490

Phone

(336) 497-5391

Fax

(336) 497-4604

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Bailey Trader, NC LICENSED OPTICIAN

Title

Owner

Phone

(336) 497-5391

Specialties & licenses 1

Addresses

Tax ID family

Coliseum Eyewear2 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.

• Coliseum Eyewear

  • Eyewear Supplier
  • Winston Salem, NC
  • NPI 1770840514
  NPD tax ID

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1881040673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S MAIN ST",
            "address_2": "SUITE P",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847490",
            "telephone_number": "333-497-5391",
            "fax_number": "336-497-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S MAIN ST",
            "address_2": "SUITE P",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847490",
            "telephone_number": "336-497-5391",
            "fax_number": "336-497-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUTURE EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "TRADER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-497-5391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NC LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Health Care PA
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• Kaitlyn Cornwell
• Victoria Corona, MS, LPCA, NCC
• Gabriela Costa
• Covenant Spine and Neurology, PLLC
• Erica Amburgy Cox, ARNP
• Whitney Leigh Crain, PA
• Crane Villa of Shuler Health Care, Inc.
• Sandrine Uwase Crane, MD

• Optician in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.