KEC 51 LLC NPI 1063976363

Eyewear Supplier in Katonah, NY

NPI 1063976363 Organization Eyewear Supplier CLIA Number 33D2176674 CLIA Certificate of Waiver

About KEC 51 LLC

Kec 51 Llc is a provider established in Katonah, New York specializing in eyewear supplier. The NPI number of Kec 51 Llc is 1063976363 and was assigned on January 2019. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Steven Gordon Od (President)

The CLIA number of Kec 51 Llc is 33D2176674 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Kec 51 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1063976363

Provider NameKEC 51 LLC
Provider Location Address51 KATONAH AVE KATONAH, NY 10536
Provider Mailing Address51 KATONAH AVE KATONAH, NY 10536
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-31-2019
Last Update Date01-31-2019


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

KEC 51 LLC
51 KATONAH AVE
KATONAH, NY
ZIP 10536
Phone: (914) 232-5770
Fax: (914) 232-9599

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Mailing Address

KEC 51 LLC
51 KATONAH AVE
KATONAH, NY
ZIP 10536
Phone: (914) 232-5770
Fax: (914) 232-9599



Authorized Official

Authorized Official NameDR. STEVEN GORDON OD
Authorized Official TitlePRESIDENT
Authorized Official Phone(914) 439-2518

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1063976363 is:

CLIA Number33D2176674
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922159920 STEVEN GORDON O.D.
Individual
Optometrist51 KATONAH AVE
KATONAH, NY 10536
(914) 232-5770
1992345979KEC 51 LLC
Organization
Optometrist51 KATONAH AVE
KATONAH, NY 10536
(914) 232-5770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.