Individual provider Active NPI

Gary David Kirshner, O.D.

  • Optometrist
  • King of Prussia, PA
National Provider Identifier
1760589386
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE005663T Issued in PA
Practice address
690 W Dekalb Pike
Suite #2011
King of Prussia, PA 19406-2982
Phone
(610) 265-3800
Fax
(610) 265-0412
NPI assigned
Sep 17, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE005663T PA Primary

Addresses

Primary practice location

690 W Dekalb Pike
Suite #2011
King of Prussia, PA 19406-2982

Mailing address

609 W. Dekalb PK
Suite #2011
King of Prussia, PA 19406
Phone (610) 265-3800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100309000640 PA Practitioner - Optometry 5890830210 Practice locations: King of Prussia, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE005663TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
GK Optics Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1760589386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W. DEKALB PK",
            "address_2": "SUITE #2011",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "19406",
            "telephone_number": "610-265-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 W DEKALB PIKE",
            "address_2": "SUITE #2011",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062982",
            "telephone_number": "610-265-3800",
            "fax_number": "610-265-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSHNER",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE005663T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.