Active NPI
Victoria Gammon, O.D.
- Optometrist
- Hampton Bays, NY
National Provider Identifier
1083822829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT006029
- Practice address
- 4 Springville Rd
Hampton Bays, NY 11946-2290 - Phone
- (631) 728-3132
- NPI assigned
- May 17, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006029 | NY | Primary |
Addresses
Primary practice location
4 Springville Rd
Hampton Bays, NY 11946-2290
Mailing address
770 Highland Rd
Cutchogue, NY 11935-1310
Phone (631) 734-6106
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 |
|---|---|---|---|
| VUT006029 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Condon Medical PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1427/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
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- Commack, NY
- NPI 1811174519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083822829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 HIGHLAND RD",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "119351310",
"telephone_number": "631-734-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SPRINGVILLE RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119462290",
"telephone_number": "631-728-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMON",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.