Active NPI
Kevin L Corcoran, O.D.
- Optometrist
- Horsham, PA
National Provider Identifier
1154462299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000929
- Practice address
- 925 Horsham Road
Suite B
Horsham, PA 19044-2029 - Phone
- (267) 991-6611
- Fax
- (215) 674-4631
- NPI assigned
- Feb 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000929 | PA | Primary |
Addresses
Primary practice location
925 Horsham Road
Suite B
Horsham, PA 19044-2029
Mailing address
925 Horsham Road
Suite B
Horsham, PA 19044-2029
Phone (267) 991-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000929 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1154462299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HORSHAM ROAD",
"address_2": "SUITE B",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442029",
"telephone_number": "267-991-6611",
"fax_number": "215-674-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 HORSHAM ROAD",
"address_2": "SUITE B",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442029",
"telephone_number": "267-991-6611",
"fax_number": "215-674-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-10",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.