David R. Gore, O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601002328 Issued in VA

Legal business name

DAVID R. GORE, O.D. P.C.

Practice address

6727 Lea Berry Way
Haymarket, VA 20169-2991

Phone

(703) 753-6633

Fax

(703) 753-6655

NPI assigned

Aug 21, 2005

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Randolph Gore, O.D.NPI 1245435387

Title

Optometrist/ President

Phone

(703) 753-6633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Randolph Gore, O.D.

  • Optometrist
  • Haymarket, VA
  • NPI 1245435387
  Medicare reassignment NPD Authorized official
• Lisa Davis Gore, LCSW

  • Counselor
  • Fairfax, VA
  • NPI 1831825421
  NPD
• Trisia L Jarvis, OD

  • Optometrist
  • Arlington, VA
  • NPI 1700977899
  NPD (past)

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

{
    "created_epoch": "1124582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1033101498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 LEA BERRY WAY",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692991",
            "telephone_number": "703-753-6633",
            "fax_number": "703-753-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 LEA BERRY WAY",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692991",
            "telephone_number": "703-753-6633",
            "fax_number": "703-753-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. GORE, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-21",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "OPTOMETRIST/ PRESIDENT",
        "authorized_official_telephone_number": "703-753-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601002328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geoffrey R Cox, PHARM.D.
• James P Craft III
• Rupinder K Dadwal
• Lorin Christopher Davies, LPC
• Malikah Hafeeza Day, PHARM D.
• Peter F Demitry, MD
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• Tejal Dharia, M.D.

• Optometrist in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.