Provider Demographics
NPI:1841556289
Name:JAMES M. KANE, O.D., A,P.C.
Entity Type:Organization
Organization Name:JAMES M. KANE, O.D., A,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:949-495-1610
Mailing Address - Street 1:30001 CROWN VALLEY PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1723
Mailing Address - Country:US
Mailing Address - Phone:949-495-1610
Mailing Address - Fax:949-495-3851
Practice Address - Street 1:30001 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE F
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1723
Practice Address - Country:US
Practice Address - Phone:949-495-1610
Practice Address - Fax:949-495-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5411T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT09978Medicare UPIN