Organization Active NPI

Kly Optical Inc.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1679637854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006429 Issued in NY
Legal business name
KLY OPTICAL INC.
Doing business as
Eyes on 8th
Practice address
5624 8TH Ave
Store C
Brooklyn, NY 11220-3518
Phone
(718) 567-8028
Fax
(718) 567-7386
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alan Yan, O.D.
Title
President
Phone
(718) 567-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV006429 NY Primary

Addresses

Primary practice location

5624 8TH Ave
Store C
Brooklyn, NY 11220-3518

Mailing address

5624 8TH Ave
Store C
Brooklyn, NY 11220-3518
Phone (718) 567-8028

Other names 1

  • Eyes on 8th Doing business as

National Provider Directory

National Provider Directory

Locations

5624 8th Ave
#C
Brooklyn, NY 11220
Phone (718) 567-8028

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679637854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 8TH AVE",
            "address_2": "STORE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203518",
            "telephone_number": "718-567-8028",
            "fax_number": "718-567-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 8TH AVE",
            "address_2": "STORE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203518",
            "telephone_number": "718-567-8028",
            "fax_number": "718-567-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLY OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-567-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on 8th",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.