Kevin Rehak, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5994900001 Issued in PA

Legal business name

KEVIN REHAK, OD

Practice address

301 N Lewis Rd
#165
Royersford, PA 19468-1531

Phone

(610) 948-7000

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Rehak, ODNPI 1063417202

Title

Owner

Phone

(610) 948-7000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Rehak, OD

  • Optometrist
  • Royersford, PA
  • NPI 1063417202
  NPD (past) Authorized official
• Serena Cohen, OD

  • Optometrist
  • Royersford, PA
  • NPI 1245390087
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1225227689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N LEWIS RD",
            "address_2": "#165",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N LEWIS RD",
            "address_2": "#165",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531",
            "telephone_number": "610-948-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN REHAK, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "REHAK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-948-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "5994900001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER",
            "identifier": "5994900001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gawu Kamara Bankole, MD
• Christine Marie Kane
• Taylor Elizabeth Kaputa
• Grace Karaman
• Dena Elizabeth Kelly, M.A., LPC, BCBA, BSL
• Steven Kenroy Khemraj, MS, LPC
• James Michael King, CRNP
• Stacy Brianne Kline
• Michal Kloska
• Dean F Knauss, RPH

• Eyewear Supplier in Royersford, PA
• Providers in Royersford, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.