STATE STREET OPTICAL INC. NPI 1497779045

NPI Information

  • NPI: 1497779045
  • Provider Name: STATE STREET OPTICAL, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: LAMMERS OPTICAL
  • Address: 1118 BROADWAY ST
    QUINCY, IL
    ZIP 62301
  • Phone: (217) 222-0281

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NPI Details

STATE STREET OPTICAL, INC. is a durable medical equipment medical supplies in Quincy, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. STATE STREET OPTICAL, INC. NPI is 1497779045. The provider is registered as an organization entity type.
The provider Is Doing Business As Lammers Optical.

The provider's business location address is:

1118 BROADWAY ST
QUINCY, IL
ZIP 62301-810
Phone: (217) 222-0281
Fax: (217) 222-0281

The provider's authorized official is James W Paynter .
The authorized official title is President and has the following contact phone number (217) 222-0281.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/24/2008.

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
1332B00000XDurable Medical Equipment & Medical Supplies2251-3787ILLINOISYes

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
10714080001MEDICARE ID-TYPE UNSPECIFIED

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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