Image Optical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

388 Issued in KY

Legal business name

IMAGE OPTICAL, INC

Practice address

4121 Oechsli Ave
Louisville, KY 40207-5022

Phone

(502) 895-8135

Fax

(502) 895-8133

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Jon Richard Pauline, LICENSED OPTICIAN

Title

President/Optician

Phone

(502) 895-8135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1881840221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 OECHSLI AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075022",
            "telephone_number": "502-895-8135",
            "fax_number": "502-895-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 OECHSLI AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075022",
            "telephone_number": "502-895-8135",
            "fax_number": "502-895-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PAULINE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "502-895-8135",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mefford Iles, M.D.
• Matthew Iles
• Stefan Ilievski, RBT
• Amanda Iliff
• Jessica Skraastad Iliff, MSSW
• Michael J Imburgia, MD
• Alexandra Imhoff, OTR/L
• Immediate Care Chiropractic Center, P.S.C.
• Improved Dynamics ABA of Ky
• Ayesha Imran

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.