Organization Name: | KLASSY EYES INC |
NPI Number: | 1003913419 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH ALAN DI CERBO (PRESIDENT/OWNER) |
Mailing Address: | Klassy Eyes Optical 7050 W Palmetto Park Road Suite36 Boca Raton |
State: | FL US |
Postal Code: | 334333463 |
Phone Number: | 5613948777 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 2782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |