NPIMap

Organization Active NPI

Kay & Tabas Ophthalmology Associates

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1386647105
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KAY & TABAS OPHTHALMOLOGY ASSOCIATES
Practice address
601 Walnut St Ste 210W
Philadelphia, PA 19106-3323
Phone
(215) 925-6402
Fax
(215) 925-0262
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Michael Leon Kay, M.D.NPI 1467441972
Title
Owner/ Ophthalmologist
Phone
(215) 925-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

601 Walnut St Ste 210W
Philadelphia, PA 19106-3323

Mailing address

601 Walnut St Ste 210W
Philadelphia, PA 19106-3323
Phone (215) 925-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000351 PA Part B Supplier - Clinic/Group Practice 7315848991 Receives reassigned benefits from 10 practitioners
Practice locations: Bala Cynwyd, PA; Philadelphia, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

40 Monument Rd
Ste 110
Bala Cynwyd, PA 19004

50 Monument Rd
Ste 100
Bala Cynwyd, PA 19004
Phone (610) 660-6161

50 Monument Rd
Bala Cynwyd, PA 19004
Phone (610) 667-1907

40 Monument Rd
Bala Cynwyd, PA 19004
Phone (610) 660-0396

170 S Independence Mall W
Ste 210W
Philadelphia, PA 19106
Phone (215) 925-6402

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1386647105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST STE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "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 STE 210W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-925-6402",
            "fax_number": "215-925-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY & TABAS OPHTHALMOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER/ OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "215-925-6402",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.