Michael L. Kane, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

05687T Issued in TX

Legal business name

MICHAEL L. KANE, OD, PA

Practice address

945 Melbourne Rd
Hurst, TX 76053-4632

Phone

(817) 589-1100

Fax

(713) 995-0548

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Michael L. Kane, O.D.NPI 1942276654

Title

President

Phone

(817) 589-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Michael L Kane, O.D.

  • Optometrist
  • Hurst, TX
  • NPI 1942276654
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720154164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534632",
            "telephone_number": "817-589-1100",
            "fax_number": "713-995-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534632",
            "telephone_number": "817-589-1100",
            "fax_number": "713-995-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. KANE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-589-1100",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05687T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Hurst, TX
• Providers in Hurst, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.