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OPTIC SHOP, LLC.
NPI 1396217931
Eyewear Supplier in Coffeyville, KS

Active since December 20, 2018
2205 W 8TH ST, COFFEYVILLE, KS 67337(620) 251-0050(620) 688-6055 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2019, May 29, 2019, Dec 20, 2018 (3 updates tracked since 2018).

About Optic Shop, Llc. NPPES

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

OPTIC SHOP, LLC. (NPI 1396217931) is a healthcare organization registered as an eyewear supplier in Coffeyville, Kansas and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Coffeyville and lists Heath V Haffener, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1396217931
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameOPTIC SHOP, LLC.
Location Address2205 W 8TH STCoffeyville, KS 67337-2936
Mailing Address2205 W 8th StCoffeyville, KS 67337-2936 · (620) 251-0050 · Fax (620) 688-6055
Phone(620) 251-0050
Fax(620) 688-6055
Organization SubpartNo
Authorized OfficialHeath V HaffenerPart Owner · (620) 252-8047
Enumeration DateDecember 20, 2018
Last NPPES UpdateJune 5, 20193 updates tracked since enumeration
✔ NPI 1396217931 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.
2205 W 8TH ST, Coffeyville, KS 67337
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Secondary Practice Location 1

Location 11411 W 4th StCoffeyville, KS 67337-3341 · Phone (620) 251-0050 · Fax (620) 251-0050

Other Providers at the Same Location NPPES 3

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

HEALTH CARE ASSOCIATES OF SOUTHEAST KANSAS, LLC
Nurse Practitioner (Family)
2205 W 8TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-6668
ADVANCED PT COFFEYVILLE LLC
Physical Therapist
2205 W 8TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-5839
SHARON R MARQUEZ P.T.
Physical Therapist
2205 W 8TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-5839

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 Optic Shop, LLC.'s NPI number?

The NPI number for Optic Shop, LLC. is 1396217931. It was assigned to this organization in the NPPES registry on December 20, 2018.

Where is Optic Shop, LLC. located?

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

What is Optic Shop, LLC.'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 Optic Shop, LLC. was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.