Optical Shades N Specs, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL SHADES N SPECS, LLC

Practice address

842C NM Hwy 516
Flora Vista, NM 87415-9602

Phone

(505) 334-3443

Fax

(505) 334-9089

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Dawn Pierce

Title

Owner

Phone

(505) 334-3443

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shades N Specs Optical Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1912042011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842C NM HWY 516",
            "city": "FLORA VISTA",
            "state": "NM",
            "postal_code": "874159602",
            "telephone_number": "505-334-3443",
            "fax_number": "505-334-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842C NM HWY 516",
            "city": "FLORA VISTA",
            "state": "NM",
            "postal_code": "874159602",
            "telephone_number": "505-334-3443",
            "fax_number": "505-334-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SHADES N SPECS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-334-3443"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "42257",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NM7706",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shades N Specs Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Flora Vista, NM
• Providers in Flora Vista, NM by specialty
• Eyewear Supplier in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.