Organization
KLM OPTICAL, INC
Active
Other names
Pearle Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE J. KELLY (OWNER / OPTICIAN)
(516) 365-4066
Entity
Organization
Contact information
Practice address
1085D NORTHERN BLVD, ROSLYN, NY 11576-1632
(516) 365-4066
(516) 365-9312
Mailing address
1085D NORTHERN BLVD, ROSLYN, NY 11576-1632
(516) 365-4066
(516) 365-9312
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
005159-1
NY
156FX1800X
Optician
Primary
005191-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02604960
—
NY
01
—
1002050000
UFT
NY
01
—
18046
DAVIS VISION
NY
01
—
837
VISION SCREENING
NY
01
—
NY5159
EYEMED
NY
Enumeration date
09/16/2006
Last updated
07/09/2025
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