Gateway Village Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GATEWAY VILLAGE OPTOMETRY

Practice address

806 Avenida Pico, Ste. H
San Clemente, CA 92673-5639

Phone

(949) 545-0257

Fax

(949) 498-8238

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Rick Abelson, O.D.NPI 1093019911

Title

Ceo

Phone

(949) 545-0257

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rick Abelson, O.D.

  • Optometrist
  • San Clemente, CA
  • NPI 1093019911
  NPD (past) Authorized official

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1104489491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 AVENIDA PICO, STE. H",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735639",
            "telephone_number": "949-545-0257",
            "fax_number": "949-498-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 AVENIDA PICO, STE. H",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735639",
            "telephone_number": "949-545-0257",
            "fax_number": "949-498-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY VILLAGE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "ABELSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-545-0257",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Karen Garner, MD
• Larissa L. Garth, PA-C
• Lisa Gaskin, MA
• Joey Robert Gee, DO
• Christina Lee Geno, LMT
• Ashley Genova
• Eva Marie Gentile, MD
• John Frederick Gentile, MD

• Optometrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.