MONROE OPTICAL, INC. (NPI# 1578618690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578618690 |
| Entity Type | Organization |
| Organization Name | MONROE OPTICAL, INC. |
| Practice Address |
1311 W Spring St Monroe GA 30655-1758 |
| Practice Telephone | 7702677824 |
| Practice Fax Number | 7702070072 |
| Mailing Telephone | 7702677824 |
| Mailing Fax Number | 7702070072 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NORMAN A. NICHOLAS (OWNER) |
| Authorized Official Telephone | 7702677824 |
| Authorized Official Credential | L.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO000998 | GA | Eye and Vision Services Providers |
| Street Address |
1311 W SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237086 | Norman A Nicholas | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2005-12-26 |
| 1851801286 | Georgia Ophthalmologists LLC | Optometrist | 1311 W Spring St, Monroe, GA 30655-1758 | 2017-10-12 |
| 1407027063 | Alton L Provost | Optometrist | 1311 W Spring St, Monroe, GA 30655-1758 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1821407909 | Wal-mart Stores, Inc | Technician/Technologist | 19191 N Kelsey St, Monroe, WA 98272-1459 | 2014-08-04 |
| 1508184359 | Moishe Hoffman | Technician/Technologist | 51 Forest Rd Suite 308, Monroe, NY 10950 | 2010-05-04 |
| 1053634840 | America's Best Contact & Eyeglasses | Technician/Technologist | 2215 N Telegraph Rd, Monroe, MI 48162-8941 | 2010-03-08 |
| 1033440359 | Eye Center Inc. | Technician/Technologist | 51 Forest Rd Ste 308, Monroe, NY 10950-2940 | 2010-01-26 |
| 1447237086 | Norman A Nicholas | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2005-12-26 |
| 1558902171 | Seth Stack | Technician/Technologist | 845 State Route 17m, Monroe, NY 10950-1606 | 2019-10-04 |
| 1386119493 | Lauren Van Pamelen | Technician/Technologist | 845 State Route 17m, Monroe, NY 10950-1606 | 2018-10-04 |
| 1841706132 | Joseph Farkas | Technician/Technologist | 288 Larkin Dr, Walmart Vision Center, Monroe, NY 10950 | 2017-12-21 |
| 1699050302 | Sams East Inc | Technician/Technologist | 5400 Frontage Rd, Monroe, LA 71202-4040 | 2011-10-13 |
| 1518187566 | Paul Howard Utnick | Technician/Technologist | 475 State Route 17m, Plaza Optical, Monroe, NY 10950-4169 | 2007-05-01 |
| Find all providers in MONROE | ||||
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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.