Individual provider Active NPI

John T Kardos, O.D.

  • Optometrist
  • Shrewsbury, PA
National Provider Identifier
1811953292
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE6897P Issued in PA
Practice address
14625 Mount Airy Rd
Shrewsbury, PA 17361-1431
Phone
(717) 227-2030
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2792 MD
Optometrist 152W00000X I3-0001414 DE
Optometrist 152W00000X OE6897P PA Primary

Addresses

Primary practice location

14625 Mount Airy Rd
Shrewsbury, PA 17361-1431

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other practice location 1

885 S Governors Ave
Dover, DE 19904-4158
Phone (302) 734-5861

Other practice location 2

28522 Marlboro Ave Ste A
Easton, MD 21601-2792
Phone (410) 690-8844

Other identifiers 5

IdentifierTypeStateIssuer
289321OtherPAMAMSI PROVIDER NUMBER
52450901OtherMDMARYLAND PROVIDER NUMBER
5204517OtherPAAETNA NUMBER
396758OtherPANVA IDENTIFIER
538644MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091217000091 PA Practitioner - Optometry 6507906872 Reassigns benefits to 1 organization
I20200203001708 DE Practitioner - Optometry 6507906872 Reassigns benefits to 1 organization
I20210622001028 MD Practitioner - Optometry 6507906872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE6897PPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Dec 17, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 22, 2017 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Dec 17, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 22, 2017 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 5, 2021 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jun 5, 2021 Accepting new patients

Locations

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

28522 Marlboro Ave
#A
Easton, MD 21601
Phone (410) 690-8844

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

14625 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 227-2030

14625 Mount Airy Rd
Ste 109
Shrewsbury, PA 17361
Phone (717) 227-2030

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1811953292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 MOUNT AIRY RD",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611431",
            "telephone_number": "717-227-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044158",
            "country_code": "US",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28522 Marlboro Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012792",
            "country_code": "US",
            "telephone_number": "410-690-8844",
            "fax_number": "410-690-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARDOS",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2792",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001414",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE6897P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI  PROVIDER NUMBER",
            "identifier": "289321",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PROVIDER NUMBER",
            "identifier": "52450901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NUMBER",
            "identifier": "5204517",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA  IDENTIFIER",
            "identifier": "396758",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538644",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, PA

Sources for this page

Verify at the official NPI Registry.