Active NPI
TKC Optical, Inc
- Eyewear Supplier
- Kearney, NE
National Provider Identifier
1124172390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 01-8514550
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36375 | Other | NE | BCBS |
| 68239D009 | Other | HEALTH PLAN SERVICE | |
| 21516 | Other | SPECTERA | |
| 121510 | Other | EYEMED | |
| 231718 | Other | MIDLANDS CHOICE |
Other names 1
- Exact Eye Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Kearney, NE
- NPI 1326192592
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.