NPIMap

Organization Active NPI

Northland Optical Center, LLC

  • Eyewear Supplier
  • Liberty, MO
National Provider Identifier
1912290263
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
NORTHLAND OPTICAL CENTER, LLC
Practice address
1200 Landmark Ave
Liberty, MO 64068-1051
Phone
(816) 792-1900
Fax
(816) 792-3548
NPI assigned
May 19, 2011
Organization subpart
Yes
Parent organization
NORTHLAND EYE SPECIALISTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Grace A Betterton
Title
Practice Manager
Phone
(816) 792-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1200 Landmark Ave
Liberty, MO 64068-1051

Mailing address

1200 Landmark Ave
Liberty, MO 64068-1051
Phone (816) 792-1900

National Provider Directory

National Provider Directory
Tax ID family
Northland Optical Center LLC2 organizations share this tax ID, including this one
Part of
Northland Eye Specialists PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1912290263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LANDMARK AVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681051",
            "telephone_number": "816-792-1900",
            "fax_number": "816-792-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LANDMARK AVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681051",
            "telephone_number": "816-792-1900",
            "fax_number": "816-792-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND OPTICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND EYE SPECIALISTS",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BETTERTON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "816-792-1900"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.