Ganly Vision Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

PA OEG 00372 Issued in PA

Legal business name

GANLY VISION CARE, PC

Practice address

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

Phone

(610) 444-6703

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Phone

(610) 444-6703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Ganly Vision Care, PC

  • Optometrist
  • Kennett Square, PA
  • NPI 1790720118
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ken E Ganly, OD

  • Optometrist
  • Kennett Square, PA
  • NPI 1609871763
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan M Chilla, OD

  • Optometrist
  • Kennett Square, PA
  • NPI 1174019962
  Medicare reassignment Care Compare group NPD
• Carol Anne B Luchanko-Ganly, OD

  • Optometrist
  • Kennett Square, PA
  • NPI 1942205976
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1922235456",
    "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"
        },
        {
            "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": "610-444-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANLY VISION CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "GANLY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-444-6703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PA OEG 00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends Home in Kennett/Linden Hall
• Tiia Jaagus Furniss, D.C.
• Robyn Dawn Gable, PSYD
• Jonathan Philip Gahman, DPT
• Ganly Vision Care, PC
• Ken E Ganly, OD
• Matthew Garbin, D.M.D.
• Megan Meredith Gaskill, MD
• Annie M Gates, CRNP
• Genesis

• Optometrist in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.