Kidseyerx, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KIDSEYERX, LLC

Practice address

915 SE Ocean Blvd Ste 4
Stuart, FL 34994-2426

Phone

(772) 202-0629

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Michele Bates-FrizzellNPI 1912542572

Title

Owner

Phone

(772) 202-0629

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Michele Bates-Frizzell, OPTICIAN

  • Optician
  • Stuart, FL
  • NPI 1912542572

  Eyewear Supplier

  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1962028001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-202-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSEYERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "BATES-FRIZZELL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-202-0629"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104816000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kidseyerx.com",
            "affiliation": "N",
            "address_1": "915 SE Ocean Blvd Ste 4",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Khan Lepak, DO
• Nadia Khelah
• Resham Khilnani, M.D.
• Brody Khoury, DC
• Kidseyedr, LLC
• Keith Stephen Kilgallen, DDS
• Margaret Kilian, B.P.S.
• Jillian Killane
• Andi Rose Kilpatrick, COTA/L
• Torrien Kilpatrick

• Eyewear Supplier in Stuart, FL
• Providers in Stuart, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.