NPIMap

Organization Active NPI

Lewisburg Optical

  • Eyewear Supplier
  • Lewisburg, OH
National Provider Identifier
1972838340
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
5728S Issued in OH
Legal business name
LEWISBURG OPTICAL
Practice address
210 N Commerce St
Lewisburg, OH 45338-9343
Phone
(937) 962-4444
Fax
(937) 962-4443
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Ms. Robin Shiverdecker, LDONPI 1669646246
Title
Licensed Optician/Owner
Phone
(937) 962-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5728S OH Primary

Addresses

Primary practice location

210 N Commerce St
Lewisburg, OH 45338-9343

Mailing address

210 N Commerce St
PO Box 658
Lewisburg, OH 45338-9343
Phone (937) 962-4444

National Provider Directory

National Provider Directory

Locations

210 N Commerce St
Lewisburg, OH 45338
Phone (937) 962-4444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1972838340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N COMMERCE ST",
            "address_2": "PO BOX 658",
            "city": "LEWISBURG",
            "state": "OH",
            "postal_code": "453389343",
            "telephone_number": "937-962-4444",
            "fax_number": "937-962-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N COMMERCE ST",
            "city": "LEWISBURG",
            "state": "OH",
            "postal_code": "453389343",
            "telephone_number": "937-962-4444",
            "fax_number": "937-962-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "SHIVERDECKER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "LICENSED OPTICIAN/OWNER",
        "authorized_official_telephone_number": "937-962-4444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "5728S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.