PLYMOUTH OPTICAL (NPI# 1912171471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912171471 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH OPTICAL |
| Practice Address |
607 Tenney Mountain Hwy Suite 101 Plymouth NH 03264-3156 |
| Practice Telephone | 6035363569 |
| Practice Fax Number | 6035363654 |
| Mailing Telephone | 6035363569 |
| Mailing Fax Number | 6035363654 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | MR. MARTIN D KASS (PRESIDENT) |
| Authorized Official Telephone | 6035363569 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 014 | NY | Suppliers |
| Street Address |
607 TENNEY MOUNTAIN HWY SUITE 101 |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930258 | Martin David Kass | Technician/Technologist | 607 Tenney Mountain Hwy, Plymouth, NH 03264-3156 | 2007-03-16 |
| 1285845669 | John S Richards Md Pa | Optometrist | 607 Tenney Mountain Hwy, Suite 107, Plymouth, NH 03264-3156 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
| 1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
| 1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
| 1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
| 1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
| 1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| Find all providers in zip 03264 | ||||
| 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 |
|---|---|---|---|---|
| 1982099081 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 41472 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2015-04-06 |
| 1386063402 | Empire Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 198 Colony Place, Plymouth, MA 02360 | 2014-04-16 |
| 1942491501 | Personal Eyes Optical Laboratory Company | Eyewear Supplier (Equipment, not the service) | 2455 Xenium Ln N, Plymouth, MN 55441-3625 | 2007-08-07 |
| 1851908867 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 105 Shops At 5 Way, Plymouth, MA 02360-2676 | 2020-09-24 |
| 1427443472 | Ohio Eye Optometric, LLC | Eyewear Supplier (Equipment, not the service) | 38 Sandusky St, Plymouth, OH 44865-1170 | 2015-04-06 |
| 1053614750 | Daniel J. Zych, Inc | Eyewear Supplier (Equipment, not the service) | 2505 N Oak Rd, Plymouth, IN 46563-3410 | 2010-12-19 |
| 1073665378 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4175 Vinewood Ln N, Plymouth, MN 55442-2624 | 2007-01-17 |
| 1407920754 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 105 Shops At 5 Way, Plymouth, MA 02360 | 2006-11-20 |
| 1245251016 | Aurora Health Care Ventures, Inc. | Eyewear Supplier (Equipment, not the service) | 2600 Kiley Way, Suite 1300, Plymouth, WI 53073-5020 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1457967135 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Rd, Salem, NH 03079-3324 | 2020-09-18 |
| 1528588001 | Vizionz LLC | Eyewear Supplier (Equipment, not the service) | 70 Hancock Rd, Peterborough, NH 03458-1110 | 2017-06-26 |
| 1831367291 | Med-tec Hearing Labs, Inc. | Eyewear Supplier (Equipment, not the service) | 818 Central Avenue, Dover, NH 03820 | 2008-02-19 |
| 1720297088 | N H Optical Laboratory LLC | Eyewear Supplier (Equipment, not the service) | 40 Terrill Park Dr, Concord, NH 03301-7315 | 2007-05-22 |
| 1093841165 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 274 Daniel Webster Hwy, Nashua, NH 03060-5729 | 2007-02-26 |
| 1831235019 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 310 Daniel Webster Hwy Ste 259, Nashua, NH 03060-5707 | 2007-01-29 |
| 1124172176 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6 March Ave, Manchester, NH 03103 | 2007-01-23 |
| 1437203627 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Road, Salem, NH 03079 | 2007-01-23 |
| 1811040793 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 262 Plainfield Rd, West Lebanon, NH 03784-2025 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.