Organization Active NPI

KLB Investments, Inc

  • Optometrist
  • Kenosha, WI
National Provider Identifier
1053731505
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KLB INVESTMENTS, INC
Doing business as
Sterling at Pershing
Practice address
7532 Pershing Blvd
Kenosha, WI 53142-4316
Phone
(262) 694-2400
Fax
(262) 694-9456
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mr. Kenneth Brown, PROPRIETOR
Title
President
Phone
(262) 694-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7532 Pershing Blvd
Kenosha, WI 53142-4316

Mailing address

334 Main St
Racine, WI 53403-1029
Phone (262) 632-4040

Other names 1

  • Sterling at Pershing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KLB Investments Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1053731505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031029",
            "telephone_number": "262-632-4040",
            "fax_number": "262-898-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7532 PERSHING BLVD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424316",
            "telephone_number": "262-694-2400",
            "fax_number": "262-694-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLB INVESTMENTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-694-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROPRIETOR"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling at Pershing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.