Eyewear Boutique

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

20170920124 Issued in DE

Legal business name

EYEWEAR BOUTIQUE

Practice address

1902 Maryland Ave
Wilmington, DE 19805-4605

Phone

(302) 442-3005

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Paul Flowers

Title

Owner/ Optician

Phone

(302) 442-3005

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1932607298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-442-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MARYLAND AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054605",
            "telephone_number": "302-442-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWEAR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ OPTICIAN",
        "authorized_official_telephone_number": "302-442-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "DE",
            "license": "20170920124",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "DE",
            "license": "20170920124",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "DE",
            "license": "20170920124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Eyewear Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.