NPIMap

Organization Active NPI

Kay & Tabas Ophthalmology

  • Optician
  • Bala Cynwyd, PA
National Provider Identifier
1629153028
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
MD012768E Issued in PA
Legal business name
KAY & TABAS OPHTHALMOLOGY
Practice address
50 Monument Rd
Suite 110
Bala Cynwyd, PA 19004-1723
Phone
(610) 667-6760
Fax
(610) 667-7206
NPI assigned
Oct 25, 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, M.D.
Title
Owner/President
Phone
(215) 925-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X MD012768E PA Primary

Addresses

Primary practice location

50 Monument Rd
Suite 110
Bala Cynwyd, PA 19004-1723

Mailing address

601 Walnut St
Suite L30
Philadelphia, PA 19106-3332
Phone (215) 925-6402

Other identifiers 1

IdentifierTypeStateIssuer
0014921990004MedicaidPA

Other names 1

  • Onsite Optical Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930017362 PA DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 7315848991 Practice locations: Bala Cynwyd, PA

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2106375Kay, Tabas and Niknam Ophthalmology Assoc50 Monument Road #110, Bala Cynwyd, PA 19004Certificate of waiverDec 16, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kay & Tabas Ophthalmology50 Monument Rd, Bala Cynwyd, PA 19004-1706(610) 667-6760 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1629153028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE L30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063332",
            "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": "50 MONUMENT RD",
            "address_2": "SUITE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041723",
            "telephone_number": "610-667-6760",
            "fax_number": "610-667-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY & TABAS OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "MD012768E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014921990004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsite Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bala Cynwyd, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.