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OLDE TYME OPTICAL
NPI 1659759918
Technician/Technologist - Optician in E. St. Louis, IL

Active since May 07, 2015
100 N. 8TH ST E., SUITE 264, E. ST. LOUIS, IL 62201(618) 274-2020 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olde Tyme Optical NPPES

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

OLDE TYME OPTICAL (NPI 1659759918) is a healthcare organization registered as an optician in E. St. Louis, Illinois and active in the NPI registry since May 2015. The organization lists David Antone Blissenbach, Owner, as its authorized official.

NPPES Registry Identity

NPI1659759918
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameOLDE TYME OPTICAL
Location Address100 N. 8TH ST E., SUITE 264E. St. Louis, IL 62201
Mailing Address100 N. 8th St E., Suite 264E. St. Louis, IL 62201
Phone(618) 274-2020
Organization SubpartYes
Authorized OfficialDavid Antone BlissenbachOwner · (618) 274-2020
Enumeration DateMay 7, 2015
✔ NPI 1659759918 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.
100 N. 8TH ST E., E. St. Louis, IL 62201
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Other Identifiers 1

Medicaid=========001IL

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

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 Olde Tyme Optical's NPI number?

The NPI number for Olde Tyme Optical is 1659759918. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Olde Tyme Optical located?

Olde Tyme Optical is located at 100 N. 8th St E. Suite 264, E. St. Louis, IL 62201. The listed phone number is (618) 274-2020.

What is Olde Tyme Optical's specialty?

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

When was this NPI record last updated?

The NPPES record for Olde Tyme Optical was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.