Organization Active NPI

Kay & Tabas Ophthalmology

  • Specialist
  • Phila, PA
National Provider Identifier
1346336492
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD012768E Issued in PA
Legal business name
KAY & TABAS OPHTHALMOLOGY
Practice address
601 Walnut St
Suite L30
Phila, PA 19106
Phone
(215) 925-6402
Fax
(215) 925-0262
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Michael L Kay, MD
Title
Owner President
Phone
(215) 925-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD012768E PA Primary

Addresses

Primary practice location

601 Walnut St
Suite L30
Phila, PA 19106

Mailing address

601 Walnut St
Suite L30
Phila, PA 19106
Phone (215) 925-6402

Other identifiers 1

IdentifierTypeStateIssuer
0014921990004MedicaidPA

Other names 1

  • KT Optical Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1346336492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE L30",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE L30",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY & TABAS OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "215-925-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD012768E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014921990004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KT Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

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

Verify at the official NPI Registry.