Active NPI
Kens' Eyewear Inc.
- Eyewear Supplier
- Northampton, MA
National Provider Identifier
1548356538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- MA1524
- Legal business name
- KENS' EYEWEAR INC.
- Practice address
- 152 North King Street
Northampton, MA 01060 - Phone
- (413) 586-8456
- NPI assigned
- Oct 5, 2006
- 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. Kenneth Alfred Forni
- Title
- Optician
- Phone
- (413) 733-0867
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MA1524 | MA | |
| Eyewear Supplier | 332H00000X | MA1524 | MA | Primary |
Addresses
Primary practice location
152 North King Street
Northampton, MA 01060
Mailing address
152 North King Street
Northampton, MA 01060
Phone (413) 586-8456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533983 | Medicaid | MA |
National Provider Directory
National Provider Directory- Tax ID family
- Kens'Eyewear Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- East Longmeadow, MA
- NPI 1801983481
-
- Eyewear Supplier
- Westfield, MA
- NPI 1881782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198800000000",
"number": "1548356538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 NORTH KING STREET",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-586-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 NORTH KING STREET",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "01060",
"telephone_number": "413-586-8456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENS' EYEWEAR INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2007-12-28",
"status": "A",
"authorized_official_last_name": "FORNI",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ALFRED",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "413-733-0867",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MA",
"license": "MA1524",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MA",
"license": "MA1524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1533983",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.