Organization Active NPI

Salem Optical Outlet

Doing business as Salem Optical Company

  • Eyewear Supplier
  • Winston Salem, NC
National Provider Identifier
1912443755
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SALEM OPTICAL OUTLET
Doing business as
Salem Optical Company
Practice address
4310 Enterprise Dr
Suite I
Winston Salem, NC 27106-3260
Phone
(336) 757-1120
NPI assigned
Jan 18, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Mrs. Billie Trader Litwin
Title
President
Phone
(336) 757-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NC Primary

Addresses

Primary practice location

4310 Enterprise Dr
Suite I
Winston Salem, NC 27106-3260

Mailing address

4310 Enterprise Dr
Suite I
Winston Salem, NC 27106-3260
Phone (336) 757-1120

Other names 1

  • Salem Optical Company Doing business as

National Provider Directory

National Provider Directory

Locations

4310 Enterprise Dr
Ste I
Winston Salem, NC 27106
Phone (336) 757-1120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1912443755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 ENTERPRISE DR",
            "address_2": "SUITE I",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063260",
            "telephone_number": "336-757-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 ENTERPRISE DR",
            "address_2": "SUITE I",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063260",
            "telephone_number": "336-757-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM OPTICAL OUTLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "LITWIN",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "TRADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-757-1120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.