LEWISVILLE OPTICAL INC (NPI# 1013107259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013107259 |
Entity Type | Organization |
Organization Name | LEWISVILLE OPTICAL INC |
Practice Address |
6758 Shallowford Road Lewisville NC 27023 |
Mailing Address |
Po Box 399 Lewisville NC 27023-0399 |
Practice Telephone | 3369453716 |
Practice Fax Number | 3369453001 |
Mailing Telephone | 3369453716 |
Mailing Fax Number | 3369453001 |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-12-01 |
Authorized Official Name | DR. RICKEY LEE SIPE (PRESIDENT) |
Authorized Official Telephone | 3369453716 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 881 | NC | Suppliers |
Street Address |
6758 SHALLOWFORD ROAD |
City | LEWISVILLE |
State | NC |
Zip Code | 27023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
1306127527 | Gohar Karami | Clinical Nurse Specialist | 200 Shallowford Reserve Dr #303, Lewisville, NC 27023 | 2011-09-01 |
1013112960 | Patrick Paul Welch | Counselor | 5041 Styers Ferry Rd, Lewisville, NC 27023 | 2007-06-20 |
1881736551 | Kathleen Diane Morin | Speech-Language Pathologist | 8800 Buckey Court, Lewisville, NC 27023 | 2007-02-12 |
1396836755 | Connie Lynn Marie Bigwood | Physical Therapist | 765 Manarda Circle, Lewisville, NC 27023 | 2006-09-28 |
1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
1497103451 | Frank Barron | Counselor | 1035 Kensford Dr, Lewisville, NC 27023-7635 | 2016-06-01 |
1144324591 | Yuegang Chen | Physician Assistant | 1052 Feldspa Ln., Lewisville, NC 27023-7639 | 2006-09-07 |
1144772070 | Karen M Jarvis | Speech-Language Pathologist | 8800 Buckley Court, Lewisville, NC 27023-7745 | 2016-10-26 |
Find all providers in zip 27023 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568963726 | Johnson Health Services LLC | Durable Medical Equipment & Medical Supplies | 357 E Corporate Dr Apt 114, Lewisville, TX 75067-8711 | 2018-02-23 |
1902275662 | Portable Oxygen Freedom | Durable Medical Equipment & Medical Supplies | 2449 Sunderland Ln, Lewisville, TX 75067-6715 | 2015-09-23 |
1184012338 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 4620 State Highway 121, Lewisville, TX 75056-4530 | 2014-12-22 |
1114349917 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 560 W Main St Ste 101, Lewisville, TX 75057-3665 | 2014-01-13 |
1427393040 | Miracle Ear | Durable Medical Equipment & Medical Supplies | 420 E Fm 3040 Ste 113, Lewisville, TX 75067-8386 | 2012-12-07 |
1124260526 | Bellos Medical Services | Durable Medical Equipment & Medical Supplies | 2015 Vista Dr, Lewisville, TX 75067-7474 | 2009-03-31 |
1578700233 | Metromed Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 560 W Main St Ste 100, Lewisville, TX 75057-3665 | 2009-01-15 |
1932346319 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 4760 State Highway 121, Lewisville, TX 75056-2913 | 2009-01-07 |
1972649879 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 1400 Moccassin Trl Ste 11, Lewisville, TX 75077-9101 | 2007-01-29 |
1184723322 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6798 Shallowford Road, Lewisville, NC 27023-9724 | 2006-09-22 |
Find all providers in LEWISVILLE |
City | LEWISVILLE |
Zip Code | 27023 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.