Organization Active NPI

Joni'S Optical

  • Eyewear Supplier
  • Monticello, IA
National Provider Identifier
1972862670
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
153007669 Issued in IA
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

Updated by the provider on May 15, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
JEOPTICALMedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.