1. Home
  2. Directory
  3. Kansas
  4. Coffeyville
  5. Technician Technologist
  6. NPI Profile

COFFEYVILLE OPTIC SHOP LLC
NPI 1356005961
Technician/Technologist - Optician in Coffeyville, KS

Active since October 29, 2021
2205 W 8TH ST STE B, COFFEYVILLE, KS 67337(620) 251-0050 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Coffeyville Optic Shop Llc NPPES

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

COFFEYVILLE OPTIC SHOP LLC (NPI 1356005961) is a healthcare organization registered as an optician in Coffeyville, Kansas and active in the NPI registry since October 2021. The organization lists Cynthia M Dale, Owner, as its authorized official.

NPPES Registry Identity

NPI1356005961
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameCOFFEYVILLE OPTIC SHOP LLC
Location Address2205 W 8TH ST STE BCoffeyville, KS 67337-2950
Mailing Address4573 Cr 2875Coffeyville, KS 67337-7962 · (620) 870-4511
Phone(620) 251-0050
Organization SubpartNo
Authorized OfficialCynthia M DaleOwner · (620) 870-4511
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1356005961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
2205 W 8TH ST STE B, Coffeyville, KS 67337
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Coffeyville Optic Shop carries, from the Medicare DMEPOS supplier directory.

Coffeyville Optic Shop

DMEPOS supplier · Coffeyville, KSOperated by Coffeyville Optic Shop, LLC
✔

Accepts Medicare assignment

Coffeyville Optic Shop agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20404253
Medicare Participant SinceOctober 6, 2021
Supplier Location2205 W 8th St Ste BCoffeyville, KS 67337
Phone(620) 251-0050
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

CYNTHIA MARIE DALE
Technician/Technologist (Optician)
2205 W 8TH ST STE B
COFFEYVILLE, KS 67337
Montgomery County (620) 870-4511

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 Coffeyville Optic Shop LLC's NPI number?

The NPI number for Coffeyville Optic Shop LLC is 1356005961. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Coffeyville Optic Shop LLC located?

Coffeyville Optic Shop LLC is located at 2205 W 8th St Ste B, Coffeyville, KS 67337. The listed phone number is (620) 251-0050.

What is Coffeyville Optic Shop LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Coffeyville Optic Shop LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Coffeyville Optic Shop accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Coffeyville Optic Shop LLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.