Active NPI
Headwack LLC
- Eyewear Supplier
- Louisville, KY
National Provider Identifier
1336492453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.