Active NPI
LKS Holdings, Inc.
- Eyewear Supplier
- Vero Beach, FL
National Provider Identifier
1336294347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- OE880
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040919 | FL | DME Supplier - Physician - Optometrist | 8224149554 | Practice locations: Vero Beach, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| LKS Holdings, Inc. | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.