Organization Active NPI

Bill Nobles & Son Country Optical, Inc.

  • Eyewear Supplier
  • Hattiesburg, MS
National Provider Identifier
1902967847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BILL NOBLES & SON COUNTRY OPTICAL, INC.
Practice address
16 Office Park Dr Ste 3
Hattiesburg, MS 39402-6021
Phone
(601) 268-0671
Fax
(601) 264-4762
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Betty Nobles
Title
Corp. Secretary
Phone
(601) 268-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

16 Office Park Dr Ste 3
Hattiesburg, MS 39402-6021

Mailing address

16 Office Park Dr Ste 3
Hattiesburg, MS 39402-6021
Phone (601) 268-0671

Other identifiers 1

IdentifierTypeStateIssuer
00087020MedicaidMS

National Provider Directory

National Provider Directory

Locations

16 Office Park Dr
Ste 3
Hattiesburg, MS 39402
Phone (601) 268-0671

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902967847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OFFICE PARK DR STE 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026021",
            "telephone_number": "601-268-0671",
            "fax_number": "601-264-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OFFICE PARK DR STE 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026021",
            "telephone_number": "601-268-0671",
            "fax_number": "601-264-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL NOBLES & SON COUNTRY OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CORP. SECRETARY",
        "authorized_official_telephone_number": "601-268-0671"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087020",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

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.

Verify at the official NPI Registry.