Organization Active NPI

Kens' Eyewear Inc.

  • Eyewear Supplier
  • Northampton, MA
National Provider Identifier
1548356538
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MA1524 Issued in MA
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

Updated by the provider on Dec 28, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1533983MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Kens'Eyewear Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.