Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coffeyville Optic Shop LLC

Organization Optician · NPI 1356005961

Coffeyville Optic Shop LLC is an Optician in Coffeyville, Kansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 W 8th St Ste B
Coffeyville, KS 67337-2950
Phone: (620) 251-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X

Record details

NPI number1356005961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Dale — Owner · (620) 870-4511
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address4573 Cr 2875, Coffeyville, KS 67337-7962

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