Provider Demographics
NPI:1811736036
Name:LK VISION INC
Entity type:Organization
Organization Name:LK VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LHAMO
Authorized Official - Middle Name:
Authorized Official - Last Name:KYI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:773-554-0541
Mailing Address - Street 1:159 SAMOSET ST STE 6
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4815
Mailing Address - Country:US
Mailing Address - Phone:508-746-1990
Mailing Address - Fax:508-746-2093
Practice Address - Street 1:159 SAMOSET ST STE 6
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4815
Practice Address - Country:US
Practice Address - Phone:508-746-1990
Practice Address - Fax:508-746-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty