Organization Active NPI

Ajoptical, LLC

  • Eyewear Supplier
  • Muncie, IN
National Provider Identifier
1891781647
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on May 18, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100150920AMedicaidIN

Other names 1

  • Cunningham Optical One Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.