Active NPI
Thomas Hailey Kanard, O.D.
- Optometrist
- McAlester, OK
National Provider Identifier
1992706675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 843
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0291000001 | Other | OK | DMERC- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 843 | OK | MD | Occupational 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
- James Edward Jones, PHARM.D
- Kerri Lee Jones, DPH
- Tanya Lynn Jones, BA
- Vicki Jones, L.P.C.
- Barbara Ann Joslin, LCSW
- Kandra Dodd Aprn PLLC (McAlester Health Clinic)
- Kathleen Ward, PHD, PC (McAlester Psychological Associates)
- Kathleen Ward, PHD, PC (McAlester Psychological Associates)
- Crystal Keener
- Brenda Kelley
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.