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EDMOND OPTICAL SHOP, INC.
NPI 1003022773
Eyewear Supplier in Edmond, OK

Active since May 16, 2007
920 S BRYANT AVE, SUITE 101, EDMOND, OK 73034(405) 341-6588(405) 348-9537 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edmond Optical Shop, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND OPTICAL SHOP, INC. (NPI 1003022773) is a healthcare organization registered as an eyewear supplier in Edmond, Oklahoma and active in the NPI registry since May 2007. The organization lists Lonnie B. Masters, Owneroptician, as its authorized official.

NPPES Registry Identity

NPI1003022773
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameEDMOND OPTICAL SHOP, INC.
Location Address920 S BRYANT AVE, SUITE 101Edmond, OK 73034-5797
Mailing Address920 S Bryant Ave, Suite 101Edmond, OK 73034-5797 · (405) 341-6588 · Fax (405) 348-9537
Phone(405) 341-6588
Fax(405) 348-9537
Organization SubpartNo
Authorized OfficialLonnie B. MastersOwneroptician · (405) 341-6588
Enumeration DateMay 16, 2007
Last NPPES UpdateMay 20, 2010
✔ NPI 1003022773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
920 S BRYANT AVE, Edmond, OK 73034
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Other Identifiers 1

Medicare NSC0699470001OK

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT D GOURLEY MD
Ophthalmology
920 S BRYANT AVE, STE 100
EDMOND, OK 73034
Oklahoma County (405) 341-4238
MICHAEL ANDREW HOGUE MD
Ophthalmology
920 S BRYANT AVE, SUITE 100
EDMOND, OK 73034
Oklahoma County (405) 341-4238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmond Optical Shop, Inc.'s NPI number?

The NPI number for Edmond Optical Shop, Inc. is 1003022773. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Edmond Optical Shop, Inc. located?

Edmond Optical Shop, Inc. is located at 920 S Bryant Ave Suite 101, Edmond, OK 73034. The listed phone number is (405) 341-6588.

What is Edmond Optical Shop, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Edmond Optical Shop, Inc. was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.