CRAFTSMEN OPTICAL IN. NPI 1568596898

NPI Information

  • NPI: 1568596898
  • Provider Name: CRAFTSMEN OPTICAL IN.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: EYEGLASS OUTLET & SUPPLY
  • Address: 1077 W SOUTH AIRPORT RD
    TRAVERSE CITY, MI
    ZIP 49686
  • Phone: (231) 946-5809

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NPI Details

CRAFTSMEN OPTICAL IN. is an eyewear supplier in Traverse City, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CRAFTSMEN OPTICAL IN. NPI is 1568596898. The provider is registered as an organization entity type.
The provider Is Doing Business As Eyeglass Outlet & Supply.

The provider's business location address is:

1077 W SOUTH AIRPORT RD
TRAVERSE CITY, MI
ZIP 49686-737
Phone: (231) 946-5809
Fax: (231) 946-5820

The provider's authorized official is Kenneth Clifford Johnson .
The authorized official title is President and has the following contact phone number (231) 946-5809.

The enumeration date for this NPI number is 3/16/2007 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
1332H00000XEyewear SupplierYes

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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