Individual provider Active NPI

Thomas Hailey Kanard, O.D.

  • Optometrist
  • McAlester, OK
National Provider Identifier
1992706675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
843 Issued in OK
Practice address
404 E Wyandotte Ave
McAlester, OK 74501-5464
Phone
(918) 426-0728
Fax
(918) 426-0740
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 843 OK Primary

Addresses

Primary practice location

404 E Wyandotte Ave
McAlester, OK 74501-5464

Mailing address

404 E Wyandotte Ave
McAlester, OK 74501-5464
Phone (918) 426-0728

Other identifiers 1

IdentifierTypeStateIssuer
0291000001OtherOKDMERC- PALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
843OKMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992706675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015464",
            "telephone_number": "918-426-0728",
            "fax_number": "918-426-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E WYANDOTTE AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015464",
            "telephone_number": "918-426-0728",
            "fax_number": "918-426-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANARD",
        "first_name": "THOMAS",
        "middle_name": "HAILEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC- PALMETTO",
            "identifier": "0291000001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.