SPECKS 'N SHADES VISION CENTER INC. NPI 1295868040

NPI Information

NPI: 1295868040
Provider Name: SPECKS 'N SHADES VISION CENTER INC.

Doing Business As: BOLES SPECKS 'N SHADES VISION CENTER INC.

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

Specialization: Optician

Address:
1001 E STONE DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 247-9192
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SPECKS 'N SHADES VISION CENTER INC. is an optician technician technologist in Kingsport, TN. SPECKS 'N SHADES VISION CENTER INC. NPI is 1295868040. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boles Specks 'n Shades Vision Center Inc..

The provider's business location address is:

1001 E STONE DR
KINGSPORT, TN
ZIP 37660-383
Phone: (423) 247-9192
Fax: (423) 245-1017

The provider's authorized official is Robert S. Boles .
The authorized official title is President and has the following contact phone number (423) 247-9192.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.

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	DPO0000000180	TENNESSEE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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