KLM Optical, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005191-1 Issued in NY

Legal business name

KLM OPTICAL, INC

Practice address

1085D Northern Blvd
Roslyn, NY 11576-1632

Phone

(516) 365-4066

Fax

(516) 365-9312

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wayne J. KellyNPI 1144320805

Title

Owner / Optician

Phone

(516) 365-4066

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Pearle Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• KLM Optical, Inc

  • Optometrist
  • Manhasset, NY
  • NPI 1083232334

  O20091130000105

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Stacy M Kosik, O.D.

  • Optometrist
  • Roslyn, NY
  • NPI 1427048347
  Medicare reassignment NPD
• Oscar Kranz I, MD,PC

  • Ophthalmology Physician
  • Port Washington, NY
  • NPI 1912016999
  Medicare reassignment NPD
• Wayne J Kelly

  • Optician
  • Manhasset, NY
  • NPI 1144320805
  NPD Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1881790673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085D NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761632",
            "telephone_number": "516-365-4066",
            "fax_number": "516-365-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085D NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761632",
            "telephone_number": "516-365-4066",
            "fax_number": "516-365-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER / OPTICIAN",
        "authorized_official_telephone_number": "516-365-4066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005159-1",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005191-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UFT",
            "identifier": "1002050000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "18046",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604960",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY5159",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SCREENING",
            "identifier": "837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harry Kim
• Joanne Belle Kiman, SPEECH LANGUAGE PATH
• Dale Elizabeth Kinney, L.M.S.W.
• Daniella Renee Kirshner
• David E Klein, DPM
• Kathryn Kohananoo, AGPCNP
• Drita Kolilias
• Paul Kolker, M.D.
• Edwin Koo
• Tara Michelle Korwan, PA-C

• Optician in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.