Individual provider Active NPI

Doray Ibrahim Gurkaynak, O.D.

  • Optometrist
  • Phila, PA
National Provider Identifier
1073640868
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000982 Issued in PA
Practice address
3400 Aramingo Ave
Pearle
Phila, PA 19134-4531
Phone
(215) 425-4340
Fax
(215) 426-7689
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Optometrist 152W00000X OEG000982 PA Primary

Addresses

Primary practice location

3400 Aramingo Ave
Pearle
Phila, PA 19134-4531

Mailing address

512 Montgomery Ave
Haverford, PA 19041-1409
Phone (610) 506-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509000661 PA Practitioner - Optometry 9638478977 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Aramingo Ave
Philadelphia, PA 19134-4513
Phone (215) 425-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Healthcare LLC Optometrist CurrentSince Jul 31, 2022 Accepting new patients
Glasses Half Full Optometrist Past Accepting new patients
Twentytwentyhealthcare Optometrist Past Accepting new patients

Locations

3400 Aramingo Ave
Ste 7
Philadelphia, PA 19134
Phone (215) 425-4340

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1073640868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 MONTGOMERY AVE",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411409",
            "telephone_number": "610-506-3114",
            "fax_number": "215-426-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ARAMINGO AVE",
            "address_2": "PEARLE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191344531",
            "telephone_number": "215-425-4340",
            "fax_number": "215-426-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURKAYNAK",
        "first_name": "DORAY",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.