Stein Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STEIN OPTICAL INC

Doing business as

Stein Optical

Practice address

203A E Wisconsin Ave
Oconomowoc, WI 53066-3035

Phone

(262) 567-2960

Fax

(262) 567-1053

NPI assigned

Oct 18, 2006

Last updated

Aug 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doug Newcom

Title

Officer

Phone

(210) 524-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stein Optical Doing business as

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1942381595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846309",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A E WISCONSIN AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663035",
            "telephone_number": "262-567-2960",
            "fax_number": "262-567-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "NEWCOM",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-524-6700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38717600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stein Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.