Active NPI
Sore Enterprises, Inc.
- Eyewear Supplier
- Oakland, CA
National Provider Identifier
1255928875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- SORE ENTERPRISES, INC.
- Practice address
- 4171 Piedmont Ave
Oakland, CA 94611-5175 - Phone
- (510) 655-5622
- NPI assigned
- Dec 29, 2020
- 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
- Donovan Knight
- Title
- President
- Phone
- (510) 655-5622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4171 Piedmont Ave
Oakland, CA 94611-5175
Mailing address
4171 Piedmont Ave
Oakland, CA 94611-5175
Phone (510) 655-5622
Other names 1
- Site For Sore Eyes
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1255928875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 PIEDMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115175",
"telephone_number": "510-655-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 PIEDMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115175",
"telephone_number": "510-655-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORE ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "DONOVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-655-5622"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Site For Sore Eyes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.