Active NPI
Patrick Lawrence Gannon, O.D.
- Optometrist
- West Des Moines, IA
National Provider Identifier
1043264930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02274
- Practice address
- 7205 Mills Civic Pkwy
West Des Moines, IA 50266-8140 - Phone
- (515) 222-2924
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02274 | IA | Primary |
Addresses
Primary practice location
7205 Mills Civic Pkwy
West Des Moines, IA 50266-8140
Mailing address
7205 Mills Civic Pkwy
West Des Moines, IA 50266-8140
Phone (515) 222-2924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02274 | IA | MD | Optometrist |
Interoperability endpoints
- patrick.gannon@uprisedirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1043264930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 MILLS CIVIC PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668140",
"telephone_number": "515-222-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 MILLS CIVIC PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668140",
"telephone_number": "515-222-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "PATRICK",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.