Paul A. Kanter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1545 Issued in AZ

Practice address

16300 Mill Creek Blvd
Mill Creek, WA 98012-1737

Phone

(425) 742-2900

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Onesource Senior Healthcare PLLC

  • Podiatrist
  • Scottsdale, AZ
  • NPI 1508272188

  Optometrist

  Medicare reassignment NPD
• On Sight Optical LLC

  • Eyewear Supplier
  • Phoenix, AZ
  • NPI 1245536564
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1346348406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20128",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863410128",
            "telephone_number": "206-498-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 MILL CREEK BLVD",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121737",
            "telephone_number": "425-742-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTER",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1338",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shannon Jones, RPH
• Jong Il Lee DC,PS
• Nikita Abhay Joshi
• Kal Corp
• Thomas Edward Kane, DDS
• Dara J Kanwischer Schmeck, MS CCC-SLP
• Christopher Kapetanov, ACMHC
• Karla Campbell Ma PLLC
• Sandra Kartess, LMT
• Patricia H. Karthas, P.T.

• Optometrist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.