Jason Deon Gates, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2478 Issued in AR

Practice address

200 N Harwood St
Newport, AR 72112-3683

Phone

(870) 523-3200

Fax

(870) 523-3204

NPI assigned

Nov 9, 2006

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gates Eye Care Center, Inc.

  • Optometrist
  • Newport, AR
  • NPI 1205962404
  Medicare reassignment NPD Authorized official
• Harris Hearing Center, Inc.

  • Audiologist-Hearing Aid Fitter
  • Batesville, AR
  • NPI 1184770166
  NPD (past)
• McNair Eye Center

  • Ophthalmology Physician
  • Heber Springs, AR
  • NPI 1245255074
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1053481457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HARWOOD ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123683",
            "telephone_number": "870-523-3200",
            "fax_number": "870-523-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HARWOOD ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123683",
            "telephone_number": "870-523-3200",
            "fax_number": "870-523-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JASON",
        "middle_name": "DEON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138806722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freds Stores of Tennessee Inc (Freds Pharmacy 2421)
• Alexia Friar
• Kaelin Garcia
• Alexandria Brooke Garrett
• Gates Eye Care Center, Inc.
• Leotis Gist, RECOVERY ASSISTANT
• Amanda Goldman
• Olivia Peek Goodon
• Ronald D Gore, DDS
• Stephen J. Graham Jr.

• Optometrist in Newport, AR
• Providers in Newport, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.