Active NPI
SJS of High Point
Doing business as Optics
- Eyewear Supplier
- High Point, NC
National Provider Identifier
1881738102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 1616
- Legal business name
- SJS OF HIGH POINT
- Doing business as
- Optics
- Practice address
- 1710 Lazy LN
High Point, NC 27265-2418 - Phone
- (336) 882-0781
- Fax
- (336) 889-2035
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Dean Sparks, OPTICIAN
- Title
- Vice Presdent
- Phone
- (336) 882-0781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 1616 | NC | Primary |
Addresses
Primary practice location
1710 Lazy LN
High Point, NC 27265-2418
Mailing address
1710 Lazy LN
High Point, NC 27265-2418
Phone (336) 882-0781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802072 | Medicaid | NC |
Other names 1
- Optics
National Provider Directory
National Provider Directory- Tax ID family
- Optics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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": "1881738102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 LAZY LN",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272652418",
"telephone_number": "336-882-0781",
"fax_number": "336-889-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 LAZY LN",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272652418",
"telephone_number": "336-882-0781",
"fax_number": "336-889-2035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJS OF HIGH POINT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "VICE PRESDENT",
"authorized_official_telephone_number": "336-882-0781",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NC",
"license": "1616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "802072",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Optics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in High Point, NC
- Nancy Costanzo Simpson, RD LDN
- Vikas Singh, MMS, DMD
- Single Solution Support Services LLC (Single Solution Support Services)
- Singleton Care Inc
- Maria Mullis Sink, LPA
- SJS Optics of High Point Inc. (Optics)
- SJS Optics of High Point NC (Optics)
- Skayter Dean LLC
- Skayter Dean LLC
- Margaret Ann Skinner, RBT
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.