Provider Demographics
NPI:1043353006
Name:K & K INVESTMENTS INC
Entity Type:Organization
Organization Name:K & K INVESTMENTS INC
Other - Org Name:ARIZONA OPTICAL DISPENSERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-254-6541
Mailing Address - Street 1:3031 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE #11
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6848
Mailing Address - Country:US
Mailing Address - Phone:602-254-6541
Mailing Address - Fax:602-955-6620
Practice Address - Street 1:3031 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE #11
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6848
Practice Address - Country:US
Practice Address - Phone:602-254-6541
Practice Address - Fax:602-955-6620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-313217-Z332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1043353006Medicaid