Organization Active NPI

Charles Krebs Optical Shoppe

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1659552073
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0372 Issued in KY
Legal business name
CHARLES KREBS OPTICAL SHOPPE
Practice address
129 Saint Matthews Ave
Louisville, KY 40207-3141
Phone
(502) 897-1199
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mark Babcock
Title
Optician
Phone
(502) 897-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0372 KY Primary

Addresses

Primary practice location

129 Saint Matthews Ave
Louisville, KY 40207-3141

Mailing address

129 Saint Matthews Ave
Louisville, KY 40207-3141
Phone (502) 897-1199

National Provider Directory

National Provider Directory

Locations

129 Saint Matthews Ave
Louisville, KY 40207
Phone (502) 797-8055

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1659552073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAINT MATTHEWS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073141",
            "telephone_number": "502-897-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SAINT MATTHEWS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073141",
            "telephone_number": "502-897-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES KREBS OPTICAL SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "502-897-1199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.