OrganizationActive
Optic Shop, LLC.
NPI 1396217931 · Eyewear Supplier · Coffeyville, KS
Optic Shop, LLC. is a Eyewear Supplier organization in Coffeyville, KS (NPI 1396217931).
Provider details
- NPI number
- 1396217931
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Heath Haffener, Part Owner(620) 252-8047
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
2205 W 8th St
Coffeyville, KS 67337-2936
Phone: (620) 251-0050
Fax: (620) 688-6055
Street-level locationGet directions
Mailing address
2205 W 8th St
Coffeyville, KS 67337-2936
Additional practice locations (1)
- 1411 W 4th StCoffeyville, KS 67337-3341Phone: (620) 251-0050Fax: (620) 251-0050
Registry dates
- Enumerated
- 2018-12-20
- Last updated
- 2019-06-05
Frequently asked questions
- What is Optic Shop, LLC.'s NPI number?
- Optic Shop, LLC.'s National Provider Identifier (NPI) is 1396217931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optic Shop, LLC.?
- Optic Shop, LLC. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Optic Shop, LLC. located?
- Optic Shop, LLC.'s practice location on file with NPPES is 2205 W 8th St, Coffeyville, KS 67337-2936.
- What is Optic Shop, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Optic Shop, LLC. is (620) 251-0050.
- Who is the authorized official for Optic Shop, LLC.?
- The authorized official listed on Optic Shop, LLC.'s NPPES record is Heath Haffener, Part Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optic Shop, LLC.'s NPI active?
- Yes — Optic Shop, LLC.'s NPI (1396217931) is active in the NPPES registry as of the last update on 2019-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.