Active NPI
Kara I Gibbs, O.D.
- Optometrist
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006826-1
- Practice address
- 20 Main St
Bradford, PA 16701-2004 - Phone
- (814) 368-7090
- NPI assigned
- Nov 2, 2005
- Last updated
- Apr 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001527 | PA | |
| Optometrist | 152W00000X | TUV006826-1 | NY | Primary |
Addresses
Primary practice location
20 Main St
Bradford, PA 16701-2004
Mailing address
1576 Swede Rd
Ashville, NY 14710-9562
Phone (716) 483-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101142710 | Medicaid | PA | |
| 02593093 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Main St
Bradford, PA 16701-2004
Phone (814) 368-7090
260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006826-1 | NY | MD | Optometrist |
| 006826 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Health Center P C | Optometrist | Current | Accepting new patients |
| Sightrite Inc | Optometrist | Current | Accepting new patients |
| Jamestown Optometric Group, PC | Optometrist | Current | Accepting new patients |
| Eye Care Vision Optometry P.C. | Optometrist | Current | Accepting new patients |
| Westfield Optical Studio LLC | Optometrist | Past | Accepting new patients |
| Community Eye Care Specialists, P.C. | Optometrist | Past | Accepting new patients |
| Community Eye Care Specialists P C | Past | Accepting new patients |
Locations
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
555 Fairmount Ave
Jamestown, NY 14701
Phone (716) 664-7601
779 Fairmount Ave
Jamestown, NY 14701
Phone (716) 322-9088
260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892
918 James St
Syracuse, NY 13203
Phone (315) 474-1561
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
Organizations & group practices 7
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.
-
- Optometrist
- Bradford, PA
- NPI 1144380601
-
- Optometrist
- Staten Island, NY
- NPI 1851983654
-
- Optometrist
- Brooklyn, NY
- NPI 1336562644
-
dba Gateway Ophthalmology
- Ophthalmology Physician
- Jamestown, NY
- NPI 1659187177
-
- Optometrist
- Westfield, NY
- NPI 1093775892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1083605745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1576 SWEDE RD",
"city": "ASHVILLE",
"state": "NY",
"postal_code": "147109562",
"telephone_number": "716-483-2020",
"fax_number": "716-488-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAIN ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167012004",
"telephone_number": "814-368-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "KARA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001527",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006826-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101142710",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02593093",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.