Provider Demographics
NPI:1871791863
Name:K OPTICAL, INC.
Entity type:Organization
Organization Name:K OPTICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:717-566-5681
Mailing Address - Street 1:29 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-1538
Mailing Address - Country:US
Mailing Address - Phone:717-566-5681
Mailing Address - Fax:717-566-0782
Practice Address - Street 1:29 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-1538
Practice Address - Country:US
Practice Address - Phone:717-566-5681
Practice Address - Fax:717-566-0782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier