Organization Active NPI

TKC Optical, Inc

  • Eyewear Supplier
  • Kearney, NE
National Provider Identifier
1124172390
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
01-8514550 Issued in NE
Legal business name
TKC OPTICAL, INC
Practice address
4919 2ND Ave
Kearney, NE 68847-2482
Phone
(308) 237-7693
Fax
(308) 237-2948
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Steve Conley
Title
President
Phone
(712) 252-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 01-8514550 NE Primary

Addresses

Primary practice location

4919 2ND Ave
Kearney, NE 68847-2482

Mailing address

229 4TH St
Sioux City, IA 51101-1401
Phone (712) 252-1519

Other identifiers 5

IdentifierTypeStateIssuer
36375OtherNEBCBS
68239D009OtherHEALTH PLAN SERVICE
21516OtherSPECTERA
121510OtherEYEMED
231718OtherMIDLANDS CHOICE

Other names 1

  • Exact Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1124172390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011401",
            "telephone_number": "712-252-1519",
            "fax_number": "712-252-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 2ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472482",
            "telephone_number": "308-237-7693",
            "fax_number": "308-237-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKC OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-252-1519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "01-8514550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36375",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN SERVICE",
            "identifier": "68239D009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "21516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "121510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "231718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exact Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.