Kalm Optical II, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE-007231T Issued in PA

Legal business name

KALM OPTICAL II, INC.

Doing business as

Pennsylvania Vision Center

Practice address

564 Union St
Luzerne Shopping Center
Luzerne, PA 18709-1245

Phone

(570) 288-3336

NPI assigned

Nov 15, 2006

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Soltysiak

Title

Manager

Phone

(570) 288-3336

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pennsylvania Vision Center Doing business as

Locations

Practitioners 1

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.

• Susan J. Charnecki-Sincavage, O.D.

  • Optometrist
  • Berwick, PA
  • NPI 1720198328
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1902979347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 UNION ST",
            "address_2": "LUZERNE SHOPPING CENTER",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091245",
            "telephone_number": "570-288-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 UNION ST",
            "address_2": "LUZERNE SHOPPING CENTER",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091245",
            "telephone_number": "570-288-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALM OPTICAL II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SOLTYSIAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-288-3336"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-007231T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTO",
            "identifier": "396879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS INSURANCE",
            "identifier": "49775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTARA INSURANCE",
            "identifier": "12445",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsylvania Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexander Faes, PHARMD
• Bruce E. Jacobs, D.O.
• Kapral Chiropractic and Wellness LLC
• Keystone Psychiatry PLLC
• Larry H Minkoff DPM
• Luzerne Community Ambulance Association Inc
• Luzerne Discount Pharmacy Inc

• Optometrist in Luzerne, PA
• Providers in Luzerne, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.