Organization Active NPI

Kens Eyewear Inc.

  • Eyewear Supplier
  • Springfield, MA
National Provider Identifier
1679666127
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
MA1524 Issued in MA
Legal business name
KENS EYEWEAR INC.
Practice address
12 Hamburg St
Springfield, MA 01107-1327
Phone
(413) 733-0867
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Kenneth Alfred Forni, OPTICIAN
Title
Owner/President
Phone
(413) 733-0867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA1524 MA
Eyewear Supplier 332H00000X MA1524 MA Primary

Addresses

Primary practice location

12 Hamburg St
Springfield, MA 01107-1327

Mailing address

12 Hamburg St
Springfield, MA 01107-1327
Phone (413) 733-0867

Other identifiers 1

IdentifierTypeStateIssuer
1522604MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1679666127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HAMBURG ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071327",
            "telephone_number": "413-733-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HAMBURG ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071327",
            "telephone_number": "413-733-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FORNI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "413-733-0867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "MA1524",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "MA1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522604",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.