Organization Active NPI

Kenneth R Gift OD

  • Eyewear Supplier
  • Selinsgrove, PA
National Provider Identifier
1629240858
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
G000099 Issued in PA
Legal business name
KENNETH R GIFT OD
Practice address
886 Route 522
Selinsgrove, PA 17870-9712
Phone
(570) 374-0154
Fax
(570) 374-0155
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Kennth R Gift
Title
Owner
Phone
(570) 374-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X G000099 PA Primary

Addresses

Primary practice location

886 Route 522
Selinsgrove, PA 17870-9712

Mailing address

886 Route 522
Selinsgrove, PA 17870-9712
Phone (570) 374-0154

National Provider Directory

National Provider Directory

Locations

886 US Highway 522
Selinsgrove, PA 17870
Phone (570) 374-0154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1629240858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "570-374-0154",
            "fax_number": "570-374-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 ROUTE 522",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178709712",
            "telephone_number": "570-374-0154",
            "fax_number": "570-374-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R GIFT OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "GIFT",
        "authorized_official_first_name": "KENNTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-374-0154",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "G000099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selinsgrove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.