JANNENS OPTICAL NPI 1992160204

NPI Information

NPI: 1992160204
Provider Name: JANNENS OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11 COURT ST
BINGHAMTON, NY
ZIP 13901
Phone: (607) 724-2222
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JANNENS OPTICAL is an eyewear supplier in Binghamton, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JANNENS OPTICAL NPI is 1992160204. The provider is registered as an organization entity type.

The provider's business location address is:

11 COURT ST
BINGHAMTON, NY
ZIP 13901-101
Phone: (607) 724-2222
Fax: (607) 722-4430

The provider's authorized official is Steven Paul Jannen .
The authorized official title is Optician Owner and has the following contact phone number (315) 492-1774.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 5/15/2016.

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	332H00000X	Eyewear Supplier		5319-1	NEW YORK	Yes

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
1	03434324	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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