Individual provider Active NPI

Michael L Kane, O.D.

  • Optometrist
  • Hurst, TX
National Provider Identifier
1942276654
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5687T Issued in TX
Practice address
945 Melbourne Rd
Hurst, TX 76053-4632
Phone
(817) 568-1100
NPI assigned
Feb 23, 2006
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5687T TX Primary

Addresses

Primary practice location

945 Melbourne Rd
Hurst, TX 76053-4632

Mailing address

945 Melbourne Rd
Hurst, TX 76053-4632

Other identifiers 1

IdentifierTypeStateIssuer
172801601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001006 TX Practitioner - Optometry 0446233167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

1251 E Southlake Blvd
Suite 331
Southlake, TX 76092-6478
Phone (630) 452-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5687TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eyedr Optometrist CurrentSince Aug 18, 2025 Accepting new patients
Zanella Optometry, PLLC Optometrist PastSince Aug 18, 2025 Accepting new patients

Locations

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1942276654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MELBOURNE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534632",
            "telephone_number": "817-568-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5687T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172801601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.