OPTICAL CENTER (NPI# 1548585763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548585763 |
| Entity Type | Organization |
| Organization Name | OPTICAL CENTER |
| Practice Address |
506 Larcher Blvd Bldg 2306 Keesler Afb MS 39534-2342 |
| Mailing Address |
296 Grayson Hwy Lawrenceville GA 30046-5737 |
| Practice Telephone | 2284354418 |
| Practice Fax Number | 2284322324 |
| Mailing Telephone | 7708223600 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |
| Authorized Official Name | SUSAN EDICK (MC ASSISTANT) |
| Authorized Official Telephone | 6788923774 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL VISION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407125123 | Optical Center | Technician/Technologist | 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 | 2011-12-27 |
| 1225307945 | Optical Center | Technician/Technologist | Ft. Wainwright Aafes Exchange, Bldg 3703, Oak St., Ft. Wainwright, AK 99703 | 2011-12-27 |
| 1518240662 | Optical Center | Technician/Technologist | 143 Replacement Ave Bldg 478, Fort Leonard Wood, MO 65473-9092 | 2011-09-26 |
| 1265759724 | Optical Center | Technician/Technologist | 7742 Colorado Ave Bldg 850, Fort Polk, LA 71459-5306 | 2010-04-23 |
| 1841512605 | Optical Center | Technician/Technologist | 300 A Ave Bldg 1605, Fort Lee, VA 23801-1520 | 2010-02-22 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1952545824 | Optical Center | Technician/Technologist | 23640 N St Bldg 758, Riverside, CA 92518-1893 | 2009-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | OPTICAL CENTER OF BURLINGTON | 107 Church Street, Burlington, VT 05401 |
| Connecticut Business Registrations | OPTICAL CENTER, INC. | 255 West River St, Milford, CT 06460 |
| Street Address |
506 LARCHER BLVD BLDG 2306 |
| City | KEESLER AFB |
| State | MS |
| Zip Code | 39534-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289510 | Shana Thedford | Technician/Technologist | 3220 Lauderdale Rd, Lauderdale, MS 39335-9639 | 2018-03-19 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1659612836 | Harold Bernard Brewer Jr. | Technician/Technologist | 1171 Johns Mayton Rd, Brandon, MS 39042-8364 | 2013-03-12 |
| 1770822454 | Gemetric Tammorius Thomas | Technician/Technologist | 9125 Millbranch, Southaven, MS 38671-1421 | 2013-01-31 |
| 1427337492 | Clear View Vision Care | Technician/Technologist | 4612 Medgar Evers Blvd ., Suite 9, Jackson, MS 39213 | 2011-08-09 |
| 1841513348 | Marc Mclendon | Technician/Technologist | 75 Kirk Ave, Grenada, MS 38901-2839 | 2010-03-11 |
| 1528236973 | Patricia Hammons | Technician/Technologist | 661 Duling Ave, Jackson, MS 39216-4008 | 2008-02-19 |
| 1689852519 | Cleveland Optical Inc | Technician/Technologist | 802 1st St, Cleveland, MS 38732-2310 | 2008-02-01 |
| Find all providers with the same taxonomy | ||||
| City | KEESLER AFB |
| Zip Code | 39534 |
Please comment or provide details below to improve the information on OPTICAL CENTER.
| 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.