NORTHSIDE OPTICAL LLC NPI 1306061379

NPI Information

  • NPI: 1306061379
  • Provider Name: NORTHSIDE OPTICAL LLC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: DESIGNER EYEWEAR OUTLET
  • Address: 140 NORTH BARRON ST
    EATON, OH
    ZIP 45320
  • Phone: (937) 472-3937

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NPI Details

NORTHSIDE OPTICAL LLC is an optician technician technologist in Eaton, OH. 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. NORTHSIDE OPTICAL LLC NPI is 1306061379. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Designer Eyewear Outlet.

The provider's business location address is:

140 NORTH BARRON ST
EATON, OH
ZIP 45320
Phone: (937) 472-3937
Fax: (937) 472-3937

The provider's authorized official is Peggy Lou Barker .
The authorized official title is Licensed Optician and has the following contact phone number (937) 472-3366.

The enumeration date for this NPI number is 4/16/2007 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
1156FX1800XTechnician/TechnologistOpticianSC2262OHIOYes

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
12618359MEDICAIDOHIO

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: 11/21/2025

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