Organization Active NPI

Headwack LLC

  • Eyewear Supplier
  • Louisville, KY
National Provider Identifier
1336492453
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
HEADWACK LLC
Practice address
1958 Production CT
Louisville, KY 40299-2104
Phone
(800) 604-5062
NPI assigned
Oct 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Mr. Galen Robert Powers
Title
Owner
Phone
(800) 604-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1958 Production CT
Louisville, KY 40299-2104

Mailing address

1958 Production CT
Louisville, KY 40299-2104
Phone (800) 604-5062

Other names 1

  • RelensMyFrames.com Doing business as

National Provider Directory

National Provider Directory

Locations

1958 Production Ct
Louisville, KY 40299
Phone (800) 604-5062

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1336492453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 PRODUCTION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992104",
            "telephone_number": "800-604-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 PRODUCTION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992104",
            "telephone_number": "800-604-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-604-5062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelensMyFrames.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.