Kelly'S Fashion Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

008692 Issued in NY

Legal business name

KELLY'S FASHION OPTICAL

Practice address

529 E 138TH St
Bronx, NY 10454-4925

Phone

(718) 618-7443

Fax

(718) 618-7545

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Carmen I Hernandez-Rivera, OPTHALMIC DISPENSERNPI 1386893428

Title

Owner

Phone

(718) 618-7543

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Hernandez Rivera, OPTICIAN

  • Optician
  • Bronx, NY
  • NPI 1386893428
  NPD (past) Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1588812937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544925",
            "telephone_number": "718-618-7443",
            "fax_number": "718-618-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544925",
            "telephone_number": "718-618-7443",
            "fax_number": "718-618-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY'S FASHION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-RIVERA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-618-7543",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Patrick Kelly, M.D.
• Susheian Samantha Kelly, MD/MSCR
• Theresa Kelly, LCSW
• Valerie Kelly, PT
• Zenobia Kelly
• Katharine Golden Kelter, M.D., M.P.H
• Lawrence John Kelty, PH.D.
• Bridget Kemavor, DNP, FNP-BC
• Ponchai Kemawikasit, M.D.
• Georgina Dede Kemeh, MD

• Optician in Bronx, NY
• Providers in Bronx, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.