PK Optical LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PK OPTICAL LLC

Doing business as

American Eyewear

Practice address

32313 Vine Street
Willowick, OH 44095-3371

Phone

(440) 943-6858

Fax

(440) 943-4082

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A Basile, OPTICIAN

Title

Optician

Phone

(440) 943-6858

Specialties & licenses 2

Addresses

Other names 1

• American Eyewear Doing business as

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1598487423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32313 VINE STREET",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953371",
            "telephone_number": "440-943-6858",
            "fax_number": "440-943-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32313 VINE STREET",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953371",
            "telephone_number": "440-943-6858",
            "fax_number": "440-943-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "440-943-6858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Willowick, OH
• Providers in Willowick, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.