Ken E Ganly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000362 Issued in PA

Practice address

402 Bayard Rd
Suite 200
Kennett Square, PA 19348-1862

Phone

(484) 770-8132

Fax

(484) 770-8136

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Ganly Vision Care, PCGroup PAC ID 8921153503, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ganly Vision Care, PC

  • Optometrist
  • Kennett Square, PA
  • NPI 1922235456
  Medicare reassignment Care Compare group NPD Authorized official
• Ganly Vision Care, PC

  • Optometrist
  • Kennett Square, PA
  • NPI 1790720118
  NPD Authorized official
• Springfield Eye Associates, PC

  • Optometrist
  • Pottstown, PA
  • NPI 1033142963
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1609871763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HILLSIDE LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482267",
            "telephone_number": "484-678-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BAYARD RD",
            "address_2": "SUITE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481862",
            "telephone_number": "484-770-8132",
            "fax_number": "484-770-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLY",
        "first_name": "KEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL AETNA ID",
            "identifier": "460176",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED INSURANCE PROVIDER",
            "identifier": "PA7531",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiia Jaagus Furniss, D.C.
• Robyn Dawn Gable, PSYD
• Jonathan Philip Gahman, DPT
• Ganly Vision Care, PC
• Ganly Vision Care, PC
• Matthew Garbin, D.M.D.
• Megan Meredith Gaskill, MD
• Annie M Gates, CRNP
• Genesis
• Genesis

• Optometrist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.