Organization Active NPI

Contact Lens & Spectacle Shop, LLC

  • Eyewear Supplier
  • Concord, NC
National Provider Identifier
1932795465
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CONTACT LENS & SPECTACLE SHOP, LLC
Practice address
45 Optical CT NW
Concord, NC 28025-0061
Phone
(704) 788-4211
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Tiffany Flynn
Title
Owner
Phone
(704) 200-5194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

45 Optical CT NW
Concord, NC 28025-0061

Mailing address

45 Optical CT NW
Concord, NC 28025-0061
Phone (704) 788-4211

Other names 1

  • Contact Lens & Spectacle Shop, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1932795465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OPTICAL CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250061",
            "telephone_number": "704-788-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OPTICAL CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250061",
            "telephone_number": "704-788-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT LENS & SPECTACLE SHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-200-5194"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contact Lens & Spectacle Shop, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.