PRINCETON OPTICAL (NPI# 1053464024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053464024 |
| Entity Type | Organization |
| Organization Name | PRINCETON OPTICAL |
| Practice Address |
1304 W Broadway St Princeton IN 47670-1140 |
| Practice Telephone | 8123854712 |
| Mailing Telephone | 8123854712 |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES THOMAS KOVERMAN (OWNER) |
| Authorized Official Telephone | 8123854712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
1304 W BROADWAY ST |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992170914 | National Vision, Inc. | Technician/Technologist | 640 Nassau Park Blvd, Princeton, NJ 08540-5949 | 2015-12-02 |
| 1952765703 | Wal-mart Stores Texas, LLC | Technician/Technologist | 701 W Princeton Dr, Princeton, TX 75407-9002 | 2016-04-07 |
| 1689043176 | Wal-mart Stores East, Lp | Technician/Technologist | 1500 Us Highway 62 W, Princeton, KY 42445-6106 | 2015-09-15 |
| 1710221023 | Wal-mart Stores Inc | Technician/Technologist | 300 21st Ave N, Princeton, MN 55371 | 2012-11-27 |
| 1770873655 | Value Vision Optical, LLC | Technician/Technologist | 109 W Broadway St, Princeton, IN 47670-1501 | 2011-04-13 |
| 1437376522 | Felton,wong,wong & Reynolds,pa | Technician/Technologist | 419 N Harrison St, Suite 104, Princeton, NJ 08540-3521 | 2007-04-19 |
| 1194898171 | A-z, Inc. | Technician/Technologist | 310 Locust St., #6, Princeton, WV 24740 | 2006-11-16 |
| 1295816189 | Wal-mart Stores, Inc | Technician/Technologist | 2111 Claude Bailey Pkwy, Princeton, IL 61356-8618 | 2006-10-18 |
| 1104920396 | Wal-mart Stores East, Lp | Technician/Technologist | 201 Greasy Ridge Rd, Princeton, WV 24740-6900 | 2006-09-11 |
| 1174549620 | Theodore P. Werblin Md, PC. | Technician/Technologist | 1051 Stafford Dr, Princeton, WV 24740-2409 | 2006-07-15 |
| Find all providers in PRINCETON | ||||
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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.