NPIMap

Organization Active NPI

Rolla Optical

  • Eyewear Supplier
  • Rolla, MO
National Provider Identifier
1912109398
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4710340001 Issued in MO
Legal business name
ROLLA OPTICAL
Practice address
720 S Bishop Ave
Rolla, MO 65401-4317
Phone
(573) 364-5600
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Ifeanyi S Orizu Sr., M.D.NPI 1548283930
Title
Owner
Phone
(573) 364-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4710340001 MO Primary

Addresses

Primary practice location

720 S Bishop Ave
Rolla, MO 65401-4317

Mailing address

720 S Bishop Ave
Rolla, MO 65401-4317

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1912109398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014317",
            "telephone_number": "573-364-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "ORIZU",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-364-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "4710340001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.