Organization Active NPI

Sore Enterprises, Inc.

  • Eyewear Supplier
  • Oakland, CA
National Provider Identifier
1255928875
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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

Updated by the provider on Dec 29, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.