Provider Demographics
NPI:1699841189
Name:GK OPTICS
Entity Type:Organization
Organization Name:GK OPTICS
Other - Org Name:AMERICAN VISION AT THE COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSHNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-265-3800
Mailing Address - Street 1:690 W DEKALB PIKE
Mailing Address - Street 2:SUITE #2011
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2982
Mailing Address - Country:US
Mailing Address - Phone:610-265-3800
Mailing Address - Fax:610-265-0412
Practice Address - Street 1:690 W DEKALB PIKE
Practice Address - Street 2:SUITE #2011
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2982
Practice Address - Country:US
Practice Address - Phone:610-265-3800
Practice Address - Fax:610-265-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA235216OtherHIGHMARK BLUE SHIELD
PA235216OtherHIGHMARK BLUE SHIELD