Organization Active NPI

DRS E L and R H Kane PC

  • Optometrist
  • Media, PA
National Provider Identifier
1063586709
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3503 Issued in PA
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

Updated by the provider on Nov 26, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0681790001OtherPADMEC MEDICARE
C13644OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.