Active NPI
Patrick J McKernan, O.D.
- Optometrist
- King of Prussia, PA
National Provider Identifier
1184837627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001146
- Practice address
- 201 Allendale Rd
King of Prussia, PA 19406 - Phone
- (610) 337-6620
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | OEG001146 | PA | Primary |
Addresses
Primary practice location
201 Allendale Rd
King of Prussia, PA 19406
Mailing address
4020 Ottawa CT
PO Box 1074
Skippack, PA 19474-1074
Phone (610) 222-0442
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001146 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184837627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 OTTAWA CT",
"address_2": "PO BOX 1074",
"city": "SKIPPACK",
"state": "PA",
"postal_code": "194741074",
"telephone_number": "610-222-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALLENDALE RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "19406",
"telephone_number": "610-337-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKERNAN",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.