Organization Active NPI

Smith Optical Company

  • Optician
  • Bowling Green, KY
National Provider Identifier
1952472904
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
SMITH OPTICAL COMPANY
Practice address
730 Fairview Avenue
Suite B1A
Bowling Green, KY 42101-2367
Phone
(270) 842-5575
Fax
(270) 842-5575
NPI assigned
Nov 13, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Charles B Smith, OPTICIAN
Title
President
Phone
(270) 842-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

730 Fairview Avenue
Suite B1A
Bowling Green, KY 42101-2367

Mailing address

730 Fairview Avenue
Suite B1A
Bowling Green, KY 42101-2354
Phone (270) 842-5575

Other identifiers 1

IdentifierTypeStateIssuer
0141690001OtherPIN

National Provider Directory

National Provider Directory

Locations

730 Fairview Ave
Ste B1A
Bowling Green, KY 42101
Phone (270) 842-5575

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1952472904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVENUE",
            "address_2": "SUITE B1A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012354",
            "telephone_number": "270-842-5575",
            "fax_number": "270-842-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVENUE",
            "address_2": "SUITE B1A",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012367",
            "telephone_number": "270-842-5575",
            "fax_number": "270-842-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-842-5575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "0141690001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.