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KLM OPTICAL INC NPI 1881790673


NPI Information

NPI: 1881790673
Provider Name: KLM OPTICAL, INC

Doing Business As: PEARLE VISION CENTER

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1085D NORTHERN BLVD
ROSLYN, NY
ZIP 11576
Phone: (516) 365-4066
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KLM OPTICAL, INC is an optician technician technologist in Roslyn, NY. KLM OPTICAL, INC NPI is 1881790673. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pearle Vision Center.

The provider's business location address is:

1085D NORTHERN BLVD
ROSLYN, NY
ZIP 11576-632
Phone: (516) 365-4066
Fax: (516) 365-9312

The provider's authorized official is Wayne J. Kelly .
The authorized official title is Owner / Optician and has the following contact phone number (516) 365-4066.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 10/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician005159-1NEW YORKNo
2156FX1800XTechnician/TechnologistOptician005191-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NY5159OTHERNEW YORKEYEMED
21002050000OTHERNEW YORKUFT
302604960MEDICAIDNEW YORK
4837OTHERNEW YORKVISION SCREENING
50841770001MEDICARE NSCNEW YORK
6A100019282MEDICARE PINNEW YORK
718046OTHERNEW YORKDAVIS VISION

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: 11/14/2023

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