Active NPI
Stein Optical Inc
Doing business as Stein Optical
- Eyewear Supplier
- Mequon, WI
National Provider Identifier
1912088931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- STEIN OPTICAL INC
- Doing business as
- Stein Optical
- Practice address
- 11340 N Port Washington Rd
Mequon, WI 53092-3412 - Phone
- (262) 240-0455
- Fax
- (262) 240-0460
- NPI assigned
- Oct 17, 2006
- 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
- Doug Newcom
- Title
- Officer
- Phone
- (210) 524-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
11340 N Port Washington Rd
Mequon, WI 53092-3412
Mailing address
PO Box 846309
Dallas, TX 75284-6309
Phone (210) 524-6663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38717800 | Medicaid | WI |
Other names 1
- Stein Optical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219276800000",
"number": "1912088931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846309",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846309",
"telephone_number": "210-524-6663",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923412",
"telephone_number": "262-240-0455",
"fax_number": "262-240-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEIN OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2008-08-21",
"status": "A",
"authorized_official_last_name": "NEWCOM",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "210-524-6700"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38717800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stein Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.