TWELVE THIRTY OPTICAL, INC. (NPI# 1225159213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225159213 |
| Entity Type | Organization |
| Organization Name | TWELVE THIRTY OPTICAL, INC. |
| Practice Address |
1117 Magie Ave Fairfield OH 45014-1823 |
| Practice Telephone | 5138298808 |
| Practice Fax Number | 5138295305 |
| Mailing Telephone | 5138298808 |
| Mailing Fax Number | 5138295305 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DONNA G IRVIN (OWNER CONTACT LENS TECHNICIAN) |
| Authorized Official Telephone | 5138298808 |
| Authorized Official Credential | LICENSED OPTICIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | SC1577 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | COLE MANAGED VISION | 141502 | 01 |
| OH | SPECTERA | 23706 | 01 |
| OH | DAVIS VISION | 30569 | 01 |
| OH | EYE MED | OH1577 | 01 |
| Street Address |
1117 MAGIE AVE |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710004783 | Paula Rapaport | Optometrist | 1117 Magie Ave, Fairfield, OH 45014-1823 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| 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 |
|---|---|---|---|---|
| 1194203877 | Samy Optical LLC | Eyewear Supplier (Equipment, not the service) | 1350 Travis Blvd Unit 1507a, Fairfield, CA 94533-3440 | 2018-08-03 |
| 1154872133 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1544 Travis Blvd, Fairfield, CA 94533-3427 | 2016-10-14 |
| 1528257623 | Fairfield Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1876 Black Rock Turnpike, Fairfield, CT 06825 | 2007-10-15 |
| 1881767135 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6550 Aaron Aranov Dr, Flintridge Centre, Fairfield, AL 35064-1823 | 2006-11-16 |
| 1407947237 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1420 Travis Blvd, Fairfield Sears, Fairfield, CA 94533-3425 | 2006-09-27 |
| 1063513463 | A & J Eyecare, Inc. | Eyewear Supplier (Equipment, not the service) | 1901 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-09-26 |
| 1285655498 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1330 Travis Blvd., Fairfield, CA 94533 | 2006-07-22 |
| 1285685537 | Opticare Eye Health Centers, Inc. | Eyewear Supplier (Equipment, not the service) | 1482 Post Rd, Fairfield, CT 06824-5911 | 2006-05-12 |
| 1467068056 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2020-09-18 |
| 1992195564 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2015-02-03 |
| Find all providers in FAIRFIELD | ||||
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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.