National Provider Identifier Database

TRENDSETTERS OPTICAL LLC
Optician


Contact Information

TRENDSETTERS OPTICAL LLC
324 N MASSEY BLVD
NIXA, MO65714-8307
Phone: 417-725-0303
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for TRENDSETTERS OPTICAL LLC

NPI Number 1780759472
Legal business name
LBN
TRENDSETTERS OPTICAL LLC
Authorized official JACK NEWMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/21/2006
Last updated 06/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 310813951
  • MO Medicaid: 329359111

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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