Gregory L. Kane OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP-0001874 Issued in FL

Legal business name

GREGORY L. KANE OD PA

Practice address

514 S Palm Ave
Palatka, FL 32177-4148

Phone

(386) 328-8387

Fax

(386) 325-0644

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Wendy Baggett, LDONPI 1508987074

Title

Optician

Phone

(386) 328-8387

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Wendy D Baggett, LDO

  • Optician
  • Palatka, FL
  • NPI 1508987074
  NPD (past) Authorized official
• Bonnie Marie Chalker, O.D.

  • Optometrist
  • Palm Coast, FL
  • NPI 1316998529
  NPD (past)
• Jade Jackson, L.D.O

  • Optician
  • Palm Coast, FL
  • NPI 1679630842
  NPD (past)
• Jeremy Jackson

  • Optician
  • Palm Coast, FL
  • NPI 1518568971

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1760613368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774148",
            "telephone_number": "386-328-8387",
            "fax_number": "386-325-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774148",
            "telephone_number": "386-328-8387",
            "fax_number": "386-325-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. KANE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "386-328-8387",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP-0001874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078282300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesseca Loraine Gornto, MS CCC-SLP
• Grace Wellness & Aesthetics
• Kristin H Green, L.C.S.W.
• Jasmine Greene
• Gregory Kipp O.D.
• Lashonda Grice Velazquez
• Keiana Griffin
• Julie Catherine Grout, MPT,ATC, LAT
• H2 Rehabilitation Services of Florida LLC
• Rosa Roahanda Hall, CNA

• Optometrist in Palatka, FL
• Providers in Palatka, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.