Organization Active NPI

Klassy Eyes Inc

  • Eyewear Supplier
  • Boca Raton, FL
National Provider Identifier
1003913419
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2782 Issued in FL
Legal business name
KLASSY EYES INC
Practice address
Klassy Eyes Optical
7050 W Palmetto Park Road Suite36
Boca Raton, FL 33433-3463
Phone
(561) 394-8777
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth Alan Di Cerbo, OPTICIAN
Title
President/Owner
Phone
(561) 394-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2782 FL Primary

Addresses

Primary practice location

Klassy Eyes Optical
7050 W Palmetto Park Road Suite36
Boca Raton, FL 33433-3463

Mailing address

4036 NW 3Rd Ave
Boca Raton, FL 33431-4101
Phone (561) 394-5815

National Provider Directory

National Provider Directory

Locations

7050 W Palmetto Park Rd
Ste 36
Boca Raton, FL 33433
Phone (561) 394-8777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1003913419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 NW 3RD AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314101",
            "telephone_number": "561-394-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KLASSY EYES OPTICAL",
            "address_2": "7050 W PALMETTO PARK ROAD SUITE36",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333463",
            "telephone_number": "561-394-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLASSY EYES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DI CERBO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-394-8777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "2782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.