Organization Active NPI

LK Vision Inc

  • Optometrist
  • Plymouth, MA
National Provider Identifier
1811736036
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LK VISION INC
Practice address
159 Samoset St Ste 6
Plymouth, MA 02360-4815
Phone
(508) 746-1990
Fax
(508) 746-2093
NPI assigned
May 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Lhamo Kyi, ODNPI 1891304465
Title
Owner
Phone
(773) 554-0541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

159 Samoset St Ste 6
Plymouth, MA 02360-4815

Mailing address

159 Samoset St Ste 6
Plymouth, MA 02360-4815
Phone (508) 746-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610000741 MA Part B Supplier - Clinic/Group Practice 1355883000 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MA

National Provider Directory

National Provider Directory

Locations

159 Samoset St
Ste 6
Plymouth, MA 02360
Phone (508) 746-1990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1811736036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SAMOSET ST STE 6",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604815",
            "telephone_number": "508-746-1990",
            "fax_number": "508-746-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SAMOSET ST STE 6",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604815",
            "telephone_number": "508-746-1990",
            "fax_number": "508-746-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "KYI",
        "authorized_official_first_name": "LHAMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-554-0541",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.