SALEM OPTICAL OUTLET (NPI# 1912443755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912443755 |
| Entity Type | Organization |
| Organization Name | SALEM OPTICAL OUTLET |
| Other Organization Name | SALEM OPTICAL COMPANY |
| Practice Address |
4310 Enterprise Dr Suite I Winston Salem NC 27106-3260 |
| Practice Telephone | 3367571120 |
| Mailing Telephone | 3367571120 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | MRS. BILLIE TRADER LITWIN (PRESIDENT) |
| Authorized Official Telephone | 3367571120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Salem Optical Company | Doing Business As Name - Organization |
| Street Address |
4310 ENTERPRISE DR SUITE I |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| 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 |
|---|---|---|---|---|
| 1770840514 | Coliseum Eyewear | Eyewear Supplier (Equipment, not the service) | 611 Coliseum Dr, Winston Salem, NC 27106-5310 | 2012-04-18 |
| 1720243363 | Winston Salem Industries for The Blind | Eyewear Supplier (Equipment, not the service) | 7730 N Point Blvd, Optical Dispensary, Winston Salem, NC 27106-3310 | 2008-07-23 |
| 1962555870 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3320 Silas Creek Pkwy Ste Dl404, Winston Salem, NC 27103-3031 | 2007-01-22 |
| 1669543948 | Pearle Vision Inc. | Eyewear Supplier (Equipment, not the service) | 1010 S Stratford Rd, Winston Salem, NC 27103-3206 | 2006-11-10 |
| 1366993347 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1040 Hanes Mall Blvd, Winston Salem, NC 27103-1309 | 2016-10-14 |
| 1376937425 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-03-26 |
| 1154729044 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3732 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-12-09 |
| 1720356058 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2011-12-01 |
| 1033368220 | Drs Gough & Latham | Eyewear Supplier (Equipment, not the service) | 1010 S Stratford Rd, Winston Salem, NC 27103-3206 | 2008-09-12 |
| 1649394891 | Eyewear Unlimited Optical Shop | Eyewear Supplier (Equipment, not the service) | 224 Town Run Ln, Winston Salem, NC 27101-3911 | 2007-03-16 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on SALEM OPTICAL OUTLET.
| 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.