Kennys Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5100005993800044100 Issued in MI

Legal business name

KENNYS OPTICAL INC

Practice address

762 W Michigan Ave
Suite D
Jackson, MI 49201-1978

Phone

(517) 780-9073

Fax

(517) 780-9673

NPI assigned

Jan 4, 2012

Last updated

Jan 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth John Kane, C.O.NPI 1669790911

Title

Certified Optician/Owner

Phone

(517) 780-9073

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth John Kane, C.O.

  • Optician
  • Jackson, MI
  • NPI 1669790911
  Authorized official Same address or phone

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1578833836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-780-9073",
            "fax_number": "517-780-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "address_2": "SUITE D",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-780-9073",
            "fax_number": "517-780-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNYS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CERTIFIED OPTICIAN/OWNER",
        "authorized_official_telephone_number": "517-780-9073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "5100005993800044100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Kemler, LLPC
• Ben Kemp
• Kendall Macarthur Fridley
• Kendra Seagraves Nutrition, LLC
• Jayde Kennedy-Ball, PSYD, LP
• Paul Scott Kenyon, M.D.
• Baylee Keppy, LLMSW
• Kendra Keranen, MA LPC
• Brittany Kerchen, PA-C
• Courtland Keith Keteyian, MD

• Eyewear Supplier in Jackson, MI
• Providers in Jackson, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.