Organization Active NPI

LKS Holdings, Inc.

  • Eyewear Supplier
  • Vero Beach, FL
National Provider Identifier
1336294347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OE880 Issued in FL
Legal business name
LKS HOLDINGS, INC.
Practice address
792 S US Highway 1
Vero Beach, FL 32962-4701
Phone
(772) 770-2020
Fax
(772) 770-4617
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kris Edward Smith, O.D.
Title
Optometrist-Owner
Phone
(772) 770-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OE880 FL Primary

Addresses

Primary practice location

792 S US Highway 1
Vero Beach, FL 32962-4701

Mailing address

792 S US Highway 1
Vero Beach, FL 32962-4701
Phone (772) 770-2020

Other names 1

  • VisionPlus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040919 FL DME Supplier - Physician - Optometrist 8224149554 Practice locations: Vero Beach, FL

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
LKS Holdings, Inc.792 S US Highway 1, Vero Beach, FL 32962-4701(772) 770-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Feb 20, 2001

National Provider Directory

National Provider Directory

Locations

792 S US Highway 1
Vero Beach, FL 32962
Phone (772) 770-2020

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": "1598054400000",
    "number": "1336294347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624701",
            "telephone_number": "772-770-2020",
            "fax_number": "772-770-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624701",
            "telephone_number": "772-770-2020",
            "fax_number": "772-770-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKS HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OPTOMETRIST-OWNER",
        "authorized_official_telephone_number": "772-770-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OE880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionPlus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.