Organization Active NPI

Gateway Vision PC

  • Optometrist
  • Westford, MA
National Provider Identifier
1023406287
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GATEWAY VISION PC
Practice address
288 Littleton Rd Ste 2
Westford, MA 01886-3522
Phone
(978) 692-2521
Fax
(978) 692-5188
NPI assigned
Dec 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meryl Gray Hunter, ODNPI 1811204480
Title
Dr
Phone
(978) 692-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

288 Littleton Rd Ste 2
Westford, MA 01886-3522

Mailing address

288 Littleton Rd Ste 2
Westford, MA 01886-3522
Phone (978) 692-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150601000286 MA Part B Supplier - Clinic/Group Practice 7012238256 Receives reassigned benefits from 1 practitioner
Practice locations: Westford, MA

National Provider Directory

National Provider Directory

Locations

288 Littleton Rd
Ste 2
Westford, MA 01886
Phone (978) 692-2521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1023406287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 LITTLETON RD STE 2",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863522",
            "telephone_number": "978-692-2521",
            "fax_number": "978-692-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 LITTLETON RD STE 2",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863522",
            "telephone_number": "978-692-2521",
            "fax_number": "978-692-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "978-692-2521",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.