David J Kairys Odpc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000054 Issued in PA

Legal business name

DAVID J KAIRYS ODPC

Practice address

5522 Shaffer Rd Unit 127
Du Bois, PA 15801-3319

Phone

(814) 371-2211

Fax

(814) 371-5015

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David J Kairys, ODNPI 1730142134

Title

Owner

Phone

(814) 371-2211

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Professional Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• David John Kairys, O.D.

  • Optometrist
  • Du Bois, PA
  • NPI 1730142134
  Medicare reassignment Authorized official
• Michael William Murphy, O.D.

  • Optometrist
  • Du Bois, PA
  • NPI 1013164698
  Medicare reassignment NPD

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1275808347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 SHAFFER RD UNIT 127",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013319",
            "telephone_number": "814-371-2211",
            "fax_number": "814-371-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 SHAFFER RD UNIT 127",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013319",
            "telephone_number": "814-371-2211",
            "fax_number": "814-371-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J KAIRYS ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "KAIRYS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-371-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUMHEALTH",
            "identifier": "26109",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "52270",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "8143712211",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "911047",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012992050003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "05522",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Y Curll, LCSW
• Ann Curtis, R.D.
• Paige Danekas, RN
• Amanda Elizabeth Daniels-Hudson, B. A.
• Nancy L Danneker, RN
• Tom De Pue, R.PH.
• Anthony J Defazio, OD
• Marylee Defrain, CRNP
• Henry G Delatorre, M.D.
• Danielle Deliman, LMSW

• Optometrist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.