SPECTACLE SHOPPE LLC NPI 1851569776

NPI Information

NPI: 1851569776
Provider Name: SPECTACLE SHOPPE LLC

Doing Business As: THE SPECTACLE SHOPPE

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
224 TOM MILLER RD
PLATTSBURGH, NY
ZIP 12901
Phone: (518) 561-6129
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SPECTACLE SHOPPE LLC is an optician technician technologist in Plattsburgh, NY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. SPECTACLE SHOPPE LLC NPI is 1851569776. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Spectacle Shoppe.

The provider's business location address is:

224 TOM MILLER RD
PLATTSBURGH, NY
ZIP 12901-427
Phone: (518) 561-6129

The provider's authorized official is Thomas E Ryder .
The authorized official title is Owner and has the following contact phone number (518) 561-7170.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 5/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01440642	MEDICAID	NEW YORK
2	01649265	MEDICAID	NEW YORK
3	BA1431	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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