Active NPI
Kenneth R Gift, OD
- Optometrist
- Selinsgrove, PA
National Provider Identifier
1225003965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- G000099
- Practice address
- 886 US Highway 522
Selinsgrove, PA 17870-9712 - Phone
- (570) 374-0154
- Fax
- (570) 374-0155
- NPI assigned
- Feb 17, 2006
- 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 | G000099 | PA | Primary |
Addresses
Primary practice location
886 US Highway 522
Selinsgrove, PA 17870-9712
Mailing address
886 US Highway 522
Selinsgrove, PA 17870-9712
Phone (570) 374-0154
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 |
|---|---|---|---|
| G000099 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1225003965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 US HIGHWAY 522",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178709712",
"telephone_number": "570-374-0154",
"fax_number": "570-374-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 US HIGHWAY 522",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178709712",
"telephone_number": "570-374-0154",
"fax_number": "570-374-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFT",
"first_name": "KENNETH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "G000099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selinsgrove, PA
- Geisinger Medical Oncology Selinsgrove
- Gerald David Geist Jr., O.D.
- Gene N Brosius Behavior Analysis Counseling
- Raymond Leo General, DDS
- Gerald Geist
- Erin Lea Goedegebuure, MA, LPC
- Alyson Nicole Golden, MAT, LAT, ATC
- Jagdeep Goraya, DMD
- Leanne Gover III, M.S.W.
- Grayson Selinsgrove Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.