Healthcare Provider Details

I. General information

NPI: 1376219451
Provider Name (Legal Business Name): WARBY PARKER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4565 W 119TH ST
LEAWOOD KS
66209-1503
US

IV. Provider business mailing address

233 SPRING ST FL 6
NEW YORK NY
10013-1522
US

V. Phone/Fax

Practice location:
  • Phone: 888-492-7297
  • Fax:
Mailing address:
  • Phone: 855-550-0743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: LINDSAY BUXBAUM
Title or Position: CONTROLLER
Credential:
Phone: 855-550-0743