KENNYS OPTICAL INC NPI 1578833836

NPI Information

  • NPI: 1578833836
  • Provider Name: KENNYS OPTICAL INC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 762 W MICHIGAN AVE
    SUITE D
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 780-9073

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NPI Details

KENNYS OPTICAL INC is an eyewear supplier in Jackson, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KENNYS OPTICAL INC NPI is 1578833836. The provider is registered as an organization entity type.

The provider's business location address is:

762 W MICHIGAN AVE
SUITE D
JACKSON, MI
ZIP 49201-978
Phone: (517) 780-9073
Fax: (517) 780-9673

The provider's authorized official is Kenneth John Kane .
The authorized official title is Certified Optician/owner and has the following contact phone number (517) 780-9073.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 1/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier5100005993800044100MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669790911MEDICARE NSCMICHIGAN
26411350001MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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