Organization Active NPI

Coffee Bean Cafe, LTD.

Doing business as The Eyeglass Shoppe

  • Durable Medical Equipment & Medical Supplies
  • Latrobe, PA
National Provider Identifier
1902973555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COFFEE BEAN CAFE, LTD.
Doing business as
The Eyeglass Shoppe
Practice address
3804 State Route 30
Latrobe, PA 15650-5256
Phone
(724) 539-1900
Fax
(724) 532-1464
NPI assigned
Nov 29, 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
Mr. Monroe D. Personett
Title
President
Phone
(724) 593-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3804 State Route 30
Latrobe, PA 15650-5256

Mailing address

3804 State Route 30
Latrobe, PA 15650-5256
Phone (724) 539-1900

Other names 1

  • The Eyeglass Shoppe 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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902973555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 STATE ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505256",
            "telephone_number": "724-539-1900",
            "fax_number": "724-532-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 STATE ROUTE 30",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505256",
            "telephone_number": "724-539-1900",
            "fax_number": "724-532-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE BEAN CAFE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSONETT",
        "authorized_official_first_name": "MONROE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-593-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eyeglass Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latrobe, PA

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.