What is Coffeyville Optic Shop LLC's NPI number?

Coffeyville Optic Shop LLC's National Provider Identifier (NPI) is 1356005961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Coffeyville Optic Shop LLC?

Coffeyville Optic Shop LLC is classified in the NPPES registry as Optician (Eye and Vision Services Providers).

Where is Coffeyville Optic Shop LLC located?

Coffeyville Optic Shop LLC's practice location on file with NPPES is 2205 W 8th St Ste B, Coffeyville, KS 67337-2950.

What is Coffeyville Optic Shop LLC's phone number?

The practice phone number listed in the NPPES registry for Coffeyville Optic Shop LLC is (620) 251-0050.

Does Coffeyville Optic Shop LLC accept Medicare?

Coffeyville Optic Shop LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Coffeyville Optic Shop LLC?

The authorized official listed on Coffeyville Optic Shop LLC's NPPES record is Cynthia Dale, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Coffeyville Optic Shop LLC's NPI active?

Yes — Coffeyville Optic Shop LLC's NPI (1356005961) is active in the NPPES registry as of the last update on 2021-10-29.

OrganizationActiveAccepts Medicare

Coffeyville Optic Shop LLC

NPI 1356005961 · Optician · Coffeyville, KS

Coffeyville Optic Shop LLC is a Optician organization in Coffeyville, KS (NPI 1356005961).

Provider details

NPI number: 1356005961
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Organization subpart: No
Authorized official: Cynthia Dale, Owner(620) 870-4511

Practice location

2205 W 8th St Ste B

Coffeyville, KS 67337-2950

Phone: (620) 251-0050

Street-level locationGet directions

More KS providers

Mailing address

4573 Cr 2875

Coffeyville, KS 67337-7962

Specialties & taxonomies

OpticianPrimary156FX1800X
Eye and Vision Services Providers

Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2021-10-29
Last updated: 2021-10-29
Certified: 2021-10-29

Frequently asked questions

What is Coffeyville Optic Shop LLC's NPI number?: Coffeyville Optic Shop LLC's National Provider Identifier (NPI) is 1356005961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Coffeyville Optic Shop LLC?: Coffeyville Optic Shop LLC is classified in the NPPES registry as Optician (Eye and Vision Services Providers).
Where is Coffeyville Optic Shop LLC located?: Coffeyville Optic Shop LLC's practice location on file with NPPES is 2205 W 8th St Ste B, Coffeyville, KS 67337-2950.
What is Coffeyville Optic Shop LLC's phone number?: The practice phone number listed in the NPPES registry for Coffeyville Optic Shop LLC is (620) 251-0050.
Does Coffeyville Optic Shop LLC accept Medicare?: Coffeyville Optic Shop LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Coffeyville Optic Shop LLC?: The authorized official listed on Coffeyville Optic Shop LLC's NPPES record is Cynthia Dale, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Coffeyville Optic Shop LLC's NPI active?: Yes — Coffeyville Optic Shop LLC's NPI (1356005961) is active in the NPPES registry as of the last update on 2021-10-29.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions