Organization Active NPI

Kim's Fashion Eyewear LLC

  • Eyewear Supplier
  • Sterling, CO
National Provider Identifier
1194087320
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KIM'S FASHION EYEWEAR LLC
Practice address
502 W Main St
Sterling, CO 80751-3036
Phone
(970) 522-7819
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Kimberly UnreinNPI 1730445669
Title
Optician
Phone
(970) 522-7819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

502 W Main St
Sterling, CO 80751-3036

Mailing address

502 W Main St
Sterling, CO 80751-3036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000323 CO DME Supplier - Optician 7517103849 Practice locations: Sterling, CO

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
Kim's Fashion Eyewear LLC502 West Main Street, Sterling, CO 80751-3036(970) 522-7819 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Feb 6, 2013

National Provider Directory

National Provider Directory

Locations

502 W Main St
Sterling, CO 80751
Phone (970) 522-7819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1194087320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MAIN ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513036",
            "telephone_number": "970-522-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S FASHION EYEWEAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "UNREIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "970-522-7819"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.