Organization Active NPI

Kid Glasses, Inc.

  • Eyewear Supplier
  • Edwardsville, IL
National Provider Identifier
1598219685
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KID GLASSES, INC.
Practice address
435 S Buchanan St Ste B
Edwardsville, IL 62025-2091
Phone
(618) 692-5205
Fax
(618) 692-5206
NPI assigned
Aug 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Authorized official

Name
Bryan Barfield
Title
Optician
Phone
(618) 692-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

435 S Buchanan St Ste B
Edwardsville, IL 62025-2091

Mailing address

435 S Buchanan St Ste B
Edwardsville, IL 62025-2091
Phone (618) 692-5205

National Provider Directory

National Provider Directory

Locations

435 S Buchanan St
Ste B
Edwardsville, IL 62025
Phone (618) 692-6700

NPI Registry JSON

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

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1598219685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S BUCHANAN ST STE B",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252091",
            "telephone_number": "618-692-5205",
            "fax_number": "618-692-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S BUCHANAN ST STE B",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252091",
            "telephone_number": "618-692-5205",
            "fax_number": "618-692-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID GLASSES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-07",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "618-692-5205"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.