Organization Active NPI

John C Kepple, OD

  • Eyewear Supplier
  • Columbia, PA
National Provider Identifier
1770751844
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4190P Issued in PA
Legal business name
JOHN C KEPPLE, OD
Practice address
548 Chestnut St
Columbia, PA 17512-1232
Phone
(717) 684-2979
Fax
(717) 684-0000
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. John C Kepple, OD
Title
Owner
Phone
(717) 684-2979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4190P PA Primary

Addresses

Primary practice location

548 Chestnut St
Columbia, PA 17512-1232

Mailing address

548 Chestnut St
Columbia, PA 17512-1232
Phone (717) 684-2979

National Provider Directory

National Provider Directory

Locations

548 Chestnut St
Columbia, PA 17512
Phone (717) 684-2979

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1770751844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CHESTNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121232",
            "telephone_number": "717-684-2979",
            "fax_number": "717-684-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 CHESTNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121232",
            "telephone_number": "717-684-2979",
            "fax_number": "717-684-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C KEPPLE, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "KEPPLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-684-2979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "4190P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.