Organization Active NPI

Stein Optical Inc

Doing business as Stein Optical

  • Eyewear Supplier
  • Mequon, WI
National Provider Identifier
1912088931
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Aug 21, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38717800MedicaidWI

Other names 1

  • Stein Optical 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": "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.

Verify at the official NPI Registry.