Active NPI
Gary David Kirshner, O.D.
- Optometrist
- King of Prussia, PA
National Provider Identifier
1760589386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE005663T
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100309000640 | PA | Practitioner - Optometry | 5890830210 | Practice locations: King of Prussia, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE005663T | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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
- King of Prussia Dental Associates
- King of Prussia Doulas
- King of Prussia Family Eye Care P.C.
- King of Prussia Family Medicine
- King of Prussia Surgery Center, LLC (King of Prussia Surgery Center)
- Lauren Michelle Kitchen, M.A., BCBA, LBS
- Alaina Klause, LPC
- Heidi L Kleiman, LBS
- Abraham M Klein, LPC
- Anna Grace Klein
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.