Klarity Optical 2020 Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KLARITY OPTICAL 2020 INC

Practice address

111 Merrick Rd Ste 3
Amityville, NY 11701-3454

Phone

(917) 982-9759

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Bisraithe

Title

Owner

Phone

(917) 982-9759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Klarity Optical 2020 Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1023769379

  8527443480

  Same PAC ID

Locations

Practitioners 2

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.

• Sara Renee Lloyd Philip, OD

  • Optometrist
  • Plainview, NY
  • NPI 1154387488
  Medicare reassignment NPD
• Jean Daryl Semexant

  • Optician
  • Brooklyn, NY
  • NPI 1114679909

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1326774431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MERRICK RD STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013454",
            "telephone_number": "917-982-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MERRICK RD STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013454",
            "telephone_number": "917-982-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLARITY OPTICAL 2020 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "BISRAITHE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-982-9759"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Nizam Uddin Khan
• Kathryn Tan Kho, P.T.
• Tara Michelle Kilkelly, LMSW
• Judith Kitzes, L.C.S.W.
• Maryellen Klaiber, N.P.
• Ronald F Klinger, M.D.
• Dawn Melinda Knapper, L.C.SW
• Knickerbocker Dialysis Inc (Long Island Renal Care)
• Tia L Knight-Forbes, FNP-BC
• Lauren Kolonoskie

• Optometrist in Amityville, NY
• Providers in Amityville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.