THE OPTICAL SHOP OF WEST CLAY INC NPI 1073658290

NPI Information

  • NPI: 1073658290
  • Provider Name: THE OPTICAL SHOP OF WEST CLAY INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 2127 BLUESTONE DR
    SUITE 201
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (636) 947-0207

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NPI Details

THE OPTICAL SHOP OF WEST CLAY INC is an eyewear supplier in Saint Charles, MO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. THE OPTICAL SHOP OF WEST CLAY INC NPI is 1073658290. The provider is registered as an organization entity type.

The provider's business location address is:

2127 BLUESTONE DR
SUITE 201
SAINT CHARLES, MO
ZIP 63303-709
Phone: (636) 947-0207
Fax: (636) 947-5996

The provider's authorized official is Jane Troup .
The authorized official title is Vice President and has the following contact phone number (636) 947-0207.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 2/1/2012.

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
1332H00000XEyewear SupplierYes

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 Other Provider Identifier Issuer
10591780001MEDICARE NSCMISSOURI
2MA3741MEDICARE PIN

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: 3/30/2025

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