Active NPI
Glen T. Cahill, O.D., P.a.
- Optometrist
- Ottawa, KS
National Provider Identifier
1245468644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1342
- Legal business name
- GLEN T. CAHILL, O.D., P.A.
- Practice address
- 302 S Main St
Ottawa, KS 66067-2332 - Phone
- (785) 242-4303
- Fax
- (785) 242-0238
- NPI assigned
- Jun 24, 2009
- Last updated
- Jun 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glen T Cahill, O.D.
- Title
- President
- Phone
- (785) 242-4303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1342 | KS | Primary |
Addresses
Primary practice location
302 S Main St
Ottawa, KS 66067-2332
Mailing address
302 S Main St
Ottawa, KS 66067-2332
Phone (785) 242-4303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100218960A | Medicaid | KS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1245468644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660672332",
"telephone_number": "785-242-4303",
"fax_number": "785-242-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660672332",
"telephone_number": "785-242-4303",
"fax_number": "785-242-0238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN T. CAHILL, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "CAHILL",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "785-242-4303",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100218960A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.