Organization Active NPI

Kimerling Optical LTD

  • Optician
  • Bronx, NY
National Provider Identifier
1982814547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
KIMERLING OPTICAL LTD
Practice address
3887 Sedgwick Ave
Bronx, NY 10463-4401
Phone
(718) 548-7295
NPI assigned
May 23, 2007
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
Mr. Michael C Kimerling
Title
Opthalmic Dispenser
Phone
(718) 548-7295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3887 Sedgwick Ave
Bronx, NY 10463-4401

Mailing address

3887 Sedgwick Ave
Bronx, NY 10463-4401
Phone (718) 548-7295

National Provider Directory

National Provider Directory

Locations

3887 Sedgwick Ave
Bronx, NY 10463
Phone (718) 543-3116

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982814547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634401",
            "telephone_number": "718-548-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SEDGWICK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634401",
            "telephone_number": "718-548-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMERLING OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMERLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTHALMIC DISPENSER",
        "authorized_official_telephone_number": "718-548-7295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, 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.