Active NPI
Ajoptical, LLC
- Eyewear Supplier
- Muncie, IN
National Provider Identifier
1891781647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- AJOPTICAL, LLC
- Practice address
- 1608 W McGalliard Rd
Muncie, IN 47304-2205 - Phone
- (765) 289-4475
- Fax
- (765) 284-2806
- NPI assigned
- Sep 26, 2005
- 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
- Anna Joy Addington
- Title
- Ownet
- Phone
- (765) 289-4475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
1608 W McGalliard Rd
Muncie, IN 47304-2205
Mailing address
1608 W McGalliard Rd
Muncie, IN 47304-2205
Phone (765) 289-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100150920A | Medicaid | IN |
Other names 1
- Cunningham Optical One
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1891781647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 W MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042205",
"telephone_number": "765-289-4475",
"fax_number": "765-284-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 W MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473042205",
"telephone_number": "765-289-4475",
"fax_number": "765-284-2806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJOPTICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "ADDINGTON",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "OWNET",
"authorized_official_telephone_number": "765-289-4475"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100150920A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cunningham Optical One",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cunningham Optical One",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.