Organization Active NPI

Jannens Optical

  • Eyewear Supplier
  • Binghamton, NY
National Provider Identifier
1992160204
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
5319-1 Issued in NY
Legal business name
JANNENS OPTICAL
Practice address
11 Court St
Binghamton, NY 13901-3101
Phone
(607) 724-2222
Fax
(607) 722-4430
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2016

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

Authorized official

Name
Mr. Steven Paul Jannen
Title
Optician Owner
Phone
(315) 492-1774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5319-1 NY Primary

Addresses

Primary practice location

11 Court St
Binghamton, NY 13901-3101

Mailing address

11 Court St
Binghamton, NY 13901-3101
Phone (607) 724-2222

Other identifiers 1

IdentifierTypeStateIssuer
03434324MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Jannens Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463270400000",
    "number": "1992160204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013101",
            "telephone_number": "607-724-2222",
            "fax_number": "607-722-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139013101",
            "telephone_number": "607-724-2222",
            "fax_number": "607-722-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNENS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-05-15",
        "status": "A",
        "authorized_official_last_name": "JANNEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "315-492-1774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "5319-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03434324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.