Organization Active NPI

Glen T. Cahill, O.D., P.a.

  • Optometrist
  • Ottawa, KS
National Provider Identifier
1245468644
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1342 Issued in KS
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100218960AMedicaidKS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.