Kennys Optical INC

NPI #1578833836 in Jackson, Michigan

Provider Information

NPI Number: 1578833836
Entity Type: Organization
Organization Name: Kennys Optical INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 4, 2012
Last Updated: Jan 4, 2012

Practice Location

Address: 762 W MICHIGAN AVE
Address 2: SUITE D
City: Jackson
State: Michigan
ZIP Code: 49201-1978
Phone: (517) 780-9073

Authorized Official

Name: MR. KENNETH JOHN KANE, C.O.
Title: CERTIFIED OPTICIAN/OWNER
Phone: (517) 780-9073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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