Organization Active NPI

Boone Optical Services, Inc.

Doing business as Green Valley Optical

  • Optician
  • Green Valley, AZ
National Provider Identifier
1942327408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
BOONE OPTICAL SERVICES, INC.
Doing business as
Green Valley Optical
Practice address
1150 S Calle de Las Casitas Ste 120
Green Valley, AZ 85614-2061
Phone
(520) 648-3121
Fax
(520) 399-1631
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George Michael Boone
Title
President
Phone
(520) 648-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1150 S Calle de Las Casitas Ste 120
Green Valley, AZ 85614-2061

Mailing address

1150 S Calle de Las Casitas Ste 120
Green Valley, AZ 85614-2061
Phone (520) 648-3121

Other names 1

  • Green Valley Optical Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942327408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S CALLE DE LAS CASITAS STE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142061",
            "telephone_number": "520-648-3121",
            "fax_number": "520-399-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S CALLE DE LAS CASITAS STE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856142061",
            "telephone_number": "520-648-3121",
            "fax_number": "520-399-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE OPTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-648-3121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.