NPIMap

Organization Active NPI

Ganly Vision Care, PC

  • Optometrist
  • Kennett Square, PA
National Provider Identifier
1790720118
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GANLY VISION CARE, PC
Practice address
402 Bayard Rd
Suite 200
Kennett Square, PA 19348-1862
Phone
(484) 770-8132
Fax
(484) 770-8136
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Ken E Ganly, ODNPI 1609871763
Title
President/Owner
Phone
(484) 770-8132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

402 Bayard Rd
Suite 200
Kennett Square, PA 19348-1862

Mailing address

109 Hillside LN
Kennett Square, PA 19348-2267
Phone (484) 770-8132

National Provider Directory

National Provider Directory
Tax ID family
Ganly Vision Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1790720118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HILLSIDE LN",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482267",
            "telephone_number": "484-770-8132",
            "fax_number": "484-770-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BAYARD RD",
            "address_2": "SUITE 200",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481862",
            "telephone_number": "484-770-8132",
            "fax_number": "484-770-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANLY VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "GANLY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "484-770-8132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.