Organization Active NPI

Kings Eyewear Inc

  • Eyewear Supplier
  • Brooklyn, NY
National Provider Identifier
1790858835
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KINGS EYEWEAR INC
Practice address
6603 Bay Pkwy
Brooklyn, NY 11204-3934
Phone
(718) 259-8489
Fax
(718) 236-4565
NPI assigned
Nov 16, 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
Leonid Berenzon, OPTICIAN
Title
Pres
Phone
(718) 259-8489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

6603 Bay Pkwy
Brooklyn, NY 11204-3934

Mailing address

6603 Bay Pkwy
Brooklyn, NY 11204-3934
Phone (718) 259-8489

Other identifiers 1

IdentifierTypeStateIssuer
01660324MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790858835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043934",
            "telephone_number": "718-259-8489",
            "fax_number": "718-236-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043934",
            "telephone_number": "718-259-8489",
            "fax_number": "718-236-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS EYEWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERENZON",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-259-8489",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.