Organization Active NPI

K & K Investments Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1043353006
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
07-313217-Z Issued in AZ
Legal business name
K & K INVESTMENTS INC
Practice address
3031 E Indian School Rd
Suite #11
Phoenix, AZ 85016-6848
Phone
(602) 254-6541
Fax
(602) 955-6620
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Colene Gammons
Title
President
Phone
(602) 254-6541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 07-313217-Z AZ Primary

Addresses

Primary practice location

3031 E Indian School Rd
Suite #11
Phoenix, AZ 85016-6848

Mailing address

3031 E Indian School Rd
Suite #11
Phoenix, AZ 85016-6848
Phone (602) 254-6541

Other identifiers 1

IdentifierTypeStateIssuer
1043353006MedicaidAZ

Other names 1

  • Arizona Optical Dispensers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908000436 AZ DME Supplier - Optician 6709159098 Practice locations: Phoenix, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Arizona Optical3031 E Indian School Rd, Phoenix, AZ 85016-6848(602) 254-6541 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since May 25, 2017

National Provider Directory

National Provider Directory
Tax ID family
Arizona Optical Disp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3031 E Indian School Rd
Ste 11
Phoenix, AZ 85016
Phone (602) 254-6541

707 N Alvernon Way
Ste 300
Tucson, AZ 85711

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1043353006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 E INDIAN SCHOOL RD",
            "address_2": "SUITE #11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166848",
            "telephone_number": "602-254-6541",
            "fax_number": "602-955-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 E INDIAN SCHOOL RD",
            "address_2": "SUITE #11",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166848",
            "telephone_number": "602-254-6541",
            "fax_number": "602-955-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GAMMONS",
        "authorized_official_first_name": "COLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-254-6541"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07-313217-Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043353006",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Optical Dispensers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Optical Dispensers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.