Active NPI
DRS E L and R H Kane PC
- Optometrist
- Media, PA
National Provider Identifier
1063586709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3503
- Legal business name
- DRS E L AND R H KANE PC
- Practice address
- 24 E Second St
Media, PA 19063-2906 - Phone
- (610) 566-1693
- Fax
- (610) 566-2229
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene L Kane, O D
- Title
- President
- Phone
- (610) 566-1693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3503 | PA | Primary |
Addresses
Primary practice location
24 E Second St
Media, PA 19063-2906
Mailing address
24 E Second St
Media, PA 19063-2906
Phone (610) 566-1693
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0681790001 | Other | PA | DMEC MEDICARE |
| C13644 | Other | PA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1063586709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 E SECOND ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632906",
"telephone_number": "610-566-1693",
"fax_number": "610-566-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 E SECOND ST",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632906",
"telephone_number": "610-566-1693",
"fax_number": "610-566-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS E L AND R H KANE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-566-1693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "3503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEC MEDICARE",
"identifier": "0681790001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C13644",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.