Gregory L. Kane Od PA
Optometrist in Palatka, FL. Organization (NPI-2).
NPI number1760613368
StatusActive
Last updated in NPPESJul 30, 2009
Details
- NPI
- 1760613368
- Entity type
- Organization (NPI-2)
- Legal business name
- Gregory L. Kane Od PA
- Organization subpart
- No
- Enumeration date
- Jul 30, 2009
- Last updated
- Jul 30, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | op-0001874 | FL | Yes |
Practice location
514 S Palm AvePalatka, FL 32177-4148
Phone 386-328-8387 · Fax 386-325-0644
Mailing address
514 S Palm AvePalatka, FL 32177-4148
Phone 386-328-8387 · Fax 386-325-0644
Authorized official
Wendy Baggett
Optician
3863288387
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All 6 Optometrist providers in Palatka · All 706 providers in Palatka
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