Active NPI
Joni'S Optical
- Eyewear Supplier
- Monticello, IA
National Provider Identifier
1972862670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 153007669
- Legal business name
- JONI'S OPTICAL
- Practice address
- 615 S Main St
Suite B
Monticello, IA 52310-1747 - Phone
- (319) 465-3116
- Fax
- (319) 465-3116
- NPI assigned
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joni R. Eby
- Title
- Certified Optician
- Phone
- (319) 465-3116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 153007669 | IA | Primary |
Addresses
Primary practice location
615 S Main St
Suite B
Monticello, IA 52310-1747
Mailing address
615 S.Main St.
Suite B
Monticello, IA 52310-1747
Phone (319) 465-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JEOPTICAL | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
615 S Main St
Apt B
Monticello, IA 52310
Phone (319) 465-3116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1972862670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S.MAIN ST.",
"address_2": "SUITE B",
"city": "MONTICELLO",
"state": "IA",
"postal_code": "523101747",
"telephone_number": "319-465-3116",
"fax_number": "319-465-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S MAIN ST",
"address_2": "SUITE B",
"city": "MONTICELLO",
"state": "IA",
"postal_code": "523101747",
"telephone_number": "319-465-3116",
"fax_number": "319-465-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONI'S OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "EBY",
"authorized_official_first_name": "JONI",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CERTIFIED OPTICIAN",
"authorized_official_telephone_number": "319-465-3116",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "IA",
"license": "153007669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JEOPTICAL",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.