Spec Shoppe
Spec Shoppe is a healthcare organization registered as Optician in Maryville, MO, holding Type 2 (organization) NPI 1083657050 since 2006. The authorized official on file is Jeff Farnan, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083657050 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Spec Shoppe |
| Practice address | 1713 S MAIN ST, Maryville, MO, 64468 |
| Phone | 6605828911 |
| Fax | 6605822545 |
| Enumeration date | 2006-06-14 |
| Last updated in NPPES | 2010-02-12 |
Authorized official
| Name | Jeff Farnan |
|---|---|
| Title | Owner |
| Phone | 6605828911 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 156FX1800X | Optician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322223405 | Medicaid | MO | — |
Copy-ready billing details
Provider: Spec Shoppe NPI: 1083657050 Taxonomy: 156FX1800X (Optician) Address: 1713 S MAIN ST, Maryville, MO, 64468
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598709115 | Karen Gorman | Individual | Optometrist | Maryville, MO |
| 1396970455 | Jeff Farnan | Individual | Optician | Maryville, MO |
Verify this record
Cross-check NPI 1083657050 against the authoritative CMS record: view Spec Shoppe on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Spec Shoppe located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-12.