OPTICAL BOUTIQUE ASSOCIATES, LLC (NPI# 1831410984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831410984 |
| Entity Type | Organization |
| Organization Name | OPTICAL BOUTIQUE ASSOCIATES, LLC |
| Other Organization Name | CLEVELAND EYE OPTICAL BOUTIQUE |
| Practice Address |
2560 Business Park Dr Ne Cleveland TN 37311-6503 |
| Practice Telephone | 4234725401 |
| Mailing Telephone | 4234725401 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | DR. CORTNEY MICHELLE WAYCASTER (OPTOMETRIST/CO-OWNER/MANAGER) |
| Authorized Official Telephone | 4234725401 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Cleveland Eye Optical Boutique | Doing Business As Name - Organization |
| Street Address |
2560 BUSINESS PARK DR NE |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851884 | Thomas William Mcguire | Ophthalmology | 2560 Business Park Dr Ne, Cleveland, TN 37311-6503 | 2005-06-14 |
| 1831518521 | Elizabeth Underwood Rosenberger | Ophthalmology | 2560 Business Park Dr Ne, Cleveland, TN 37311 | 2014-04-10 |
| 1770780348 | Cortney M Bramlett | Optometrist | 2560 Business Park Dr Ne, Cleveland, TN 37311-6503 | 2007-06-28 |
| 1447382874 | Gregory Seth Ford | Ophthalmology | 2560 Business Park Dr Ne, Cleveland, TN 37311-6503 | 2007-03-12 |
| 1063465292 | Cleveland Eye Clinic, PC | Ophthalmology | 2560 Business Park Dr Ne, Cleveland, TN 37311-6503 | 2006-05-18 |
| 1356346720 | Nancy Marie Blank | Ophthalmology | 2560 Business Park Dr Ne, Cleveland, TN 37311-6503 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073075867 | University Hospitals Cleveland Medical Center | Eyewear Supplier (Equipment, not the service) | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2019-04-02 |
| 1891068235 | Poshoptique,llc | Eyewear Supplier (Equipment, not the service) | 600 Superior Ave E, Suite 1300, Cleveland, OH 44114-2614 | 2012-02-15 |
| 1871761510 | Case Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 3972 Warrensvlle Ctr, Cleveland, OH 44122 | 2008-02-15 |
| 1346427960 | Houston Optic, Pllc | Eyewear Supplier (Equipment, not the service) | 901 E Houston St Ste B, Cleveland, TX 77327-4602 | 2008-01-25 |
| 1548326788 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 621 Richmond Rd, Richmond Mall, Cleveland, OH 44143-2915 | 2006-12-30 |
| 1730295304 | Family Optical Inc | Eyewear Supplier (Equipment, not the service) | 7350 Pearl Rd, Cleveland, OH 44130-4807 | 2006-08-23 |
| 1720337975 | Optical Creations By Mea LLC | Eyewear Supplier (Equipment, not the service) | 7003 Pearl Rd, Suite 100, Cleveland, OH 44130-4941 | 2012-09-04 |
| 1952532905 | Cynthia J. Jemiola, O.d., Inc. | Eyewear Supplier (Equipment, not the service) | 200 Public Sq, Suite # 219, Cleveland, OH 44114-2316 | 2009-08-06 |
| 1023258167 | Glasses By Berris Inc. | Eyewear Supplier (Equipment, not the service) | 2183 S Green Rd, Cleveland, OH 44121-3313 | 2009-03-03 |
| 1104084250 | Berris Optical of University Hts Inc | Eyewear Supplier (Equipment, not the service) | 2183 S Green Rd, Cleveland, OH 44121-3313 | 2008-05-27 |
| Find all providers in CLEVELAND | ||||
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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.