Sporty Spex

Key facts

NPI

1013300581

Entity type

Organization (NPI type 2)

Primary specialty

Eyewear Supplier 332H00000X

License

005468-1 (NY)

Legal business name

SPORTY SPEX

Practice address

740 Hoosick Rd
Troy, NY 12180-6679

Phone

(518) 328-8364

NPI assigned

Mar 9, 2015

Organization subpart

No

Authorized official

Name

Kevin Walker, OPTICIAN

Title

Optician

Phone

(518) 328-8364

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2015.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1013300581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806679",
            "telephone_number": "518-328-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806679",
            "telephone_number": "518-328-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTY SPEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "518-328-8364",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "005468-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

• Wendy Lee Spendiff, MS ED
• Chantelle Spiak, PHARM. D
• Robin Spicer, LPN
• Sarah Frank Spindler, RPA
• Meghan Sponable, PHARMD
• Sarah Eliizabeth Sroka
• St Peters Health Partners Medical Associates, P.C.
• St Peters Health Partners Medical Associates, P.C.
• St. Joseph'S Physician Health, P.C.
• St. Mary'S Woodland Village

All providers in Troy, NY · Eyewear Supplier in New York