KENNETH A PHILLIPS (NPI# 1285709626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285709626 |
Entity Type | Individual |
Full Name | KENNETH A PHILLIPS |
Credential | OD |
Practice Address |
314 Honesdale Road Waymart PA 18472-0310 |
Mailing Address |
Po Box 310 Waymart PA 18472-0310 |
Practice Telephone | 5704886710 |
Mailing Telephone | 5704886710 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2010-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG000530 | PA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | GEISINGER | 18765 | 01 |
PA | NVA | 390770 | 01 |
PA | AETNA | 0829700 | 01 |
PA | VBA | OEG000530 | 01 |
PA | FIRST PRIORITY | 075457 | 01 |
PA | CLARITY VISION | PH289044 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376801555 | Kenneth Gale Phillips | Preventive Medicine | 3415 Bridgefield Dr, Lakeland, FL 33803-5914 | 2012-04-25 |
1629159017 | Kenneth Phillips | Emergency Medicine | 931 Nokomis Cir, Lancaster, TX 75146-5137 | 2006-10-18 |
1205932407 | Kenneth K Phillips Jr. | Podiatrist | 74090 El Paso, Suite 100, Palm Desert, CA 92260 | 2006-09-15 |
1144324575 | Kenneth Roswell Phillips | Internal Medicine | 16 Paul Ave, Warwick, RI 02886-7317 | 2006-09-07 |
1366452401 | Kenneth L Phillips Jr. | Physician Assistant | 15026 La Jolla Pl, Colorado Springs, CO 80921-2564 | 2006-08-09 |
1306852868 | Kenneth R Phillips | Dentist | 3165 Maplewood Ave, Winston Salem, NC 27103-3919 | 2006-08-01 |
1194221408 | Kenneth L Phillips | Counselor | 1058 S Governors Ave Ste 102, Dover, DE 19904-6920 | 2018-04-04 |
1871867119 | Kenneth David Phillips | Counselor | 8901 New Hampshire Ave, Silver Spring, MD 20903-3611 | 2012-03-05 |
1821368366 | Kenneth Phillips Sr. | Counselor | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2011-12-30 |
1467739037 | Kenneth Dale Phillips | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2011-11-10 |
Street Address |
314 HONESDALE ROAD |
City | WAYMART |
State | PA |
Zip Code | 18472-0310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393237 | Jennifer Villano | Physician Assistant | C/o Sci Waymart, Waymart, PA 18472 | 2020-10-16 |
1770108227 | Rhea Marie Carey | Physician Assistant | 3057 Eric J Williams Memorial Drive, Waymart, PA 18472 | 2020-06-10 |
1083129886 | Gods Mountain Recovery Center | Rehabilitation Counselor | 94 Adams Dr, Waymart, PA 18472 | 2017-12-04 |
1104286095 | Joseph Cheslick | Nurse Practitioner | 100 Route 6, Waymart, PA 18472 | 2016-03-04 |
1093102568 | Connie Lee Thomas | Speech-Language Pathologist | 37 Woodlands Drive, Waymart, PA 18472 | 2015-04-22 |
1194932483 | Janet B Eisele | Nurse Practitioner | 27b Woodlands Drive, Waymart, PA 18472 | 2007-05-17 |
1245456961 | Waymart Volunteer Ambulance Corps Inc | Ambulance | 28 Railroad Ln, Waymart, PA 18472 | 2007-04-18 |
1477658235 | Marci Ann Kowalewski | Physician Assistant | 263 Carbondale Rd, Box Z, Waymart, PA 18472 | 2006-09-14 |
1720191703 | Cathy Marie Salak | Dentist | 615 Roosevelt Hwy, Waymart, PA 18472 | 2006-08-16 |
1790798882 | Wawrzyniec Lawrence Stepczak | Internal Medicine | 29 Woodlands Drive, Waymart, PA 18472 | 2006-08-13 |
Find all providers in zip 18472 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831349521 | Christina Marie Gillow | Optometrist | 314 Honesdale Rd, Waymart, PA 18472-9338 | 2008-09-30 |
1477524775 | Janell R. Yzeik | Optometrist | 25 Brookside Rd, Waymart, PA 18472-9352 | 2006-01-27 |
1770024572 | Waymart Eyecare | Optometrist | 314 Honesdale Rd, Waymart, PA 18472-9338 | 2017-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.