State Street Optical, Inc. in Quincy - Durable Medical Equipment & Medical Supplies
State Street Optical, Inc. - NPI 1497779045
State Street Optical, Inc. is a Durable Medical Equipment & Medical Supplies in Quincy, Illinois. State Street Optical, Inc. practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for State Street Optical, Inc. is 1497779045. The last update date is 2008-09-24.
State Street Optical, Inc.'s current location address is 1118 Broadway St, Quincy, Illinois. You can contact this provider via phone number 2172220281 and fax number 2172220281. The mailing address for State Street Optical, Inc. is 1118 Broadway St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Street Optical, Inc. |
|---|---|
| Address | 1118 Broadway St, Quincy, Illinois |
| Phone Number | 2172220281 |
| Fax Number | 2172220281 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Paynter W James |
| Telephone Number | 2172220281 |
NPI Number Detail
| NPI Number | 1497779045 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2008-09-24 |
Provider Mailing Address Detail
| Address | 1118 Broadway St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623012810 |
| Phone Number | 2172220281 |
| Fax Number | 2172220281 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 2251-3787 |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique identifier code issued to State Street Optical, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The State Street Optical, Inc. has been assigned the NPI (National Provider Identifier) 1497779045. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the State Street Optical, Inc. located?
The State Street Optical, Inc. is located at 1118 Broadway St, Quincy, IL 623012810.
What is State Street Optical, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for State Street Optical, Inc. is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did State Street Optical, Inc. receive its 1497779045 assignment from the Centers for Medicare & Medicaid Services?
The State Street Optical, Inc. was assigned its 1497779045 on 2006-07-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding State Street Optical, Inc. most recently updated?
The details pertaining to the State Street Optical, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-09-24.