Individual provider Active NPI

Ernest Burdette Gatten, OD

  • Optometrist
  • Franklin, VA
National Provider Identifier
1114958360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000051 Issued in VA
Practice address
100 Bailey Dr
Franklin, VA 23851-2427
Phone
(757) 562-6101
Fax
(757) 562-4244
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000051 VA Primary

Addresses

Primary practice location

100 Bailey Dr
Franklin, VA 23851-2427

Mailing address

100 Bailey Dr
Franklin, VA 23851-2427
Phone (757) 562-6101

Other identifiers 1

IdentifierTypeStateIssuer
9232265MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20061227000344 VA Practitioner - Optometry 0143220061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gatten Eye Care, PLLC Optometrist CurrentSince Jun 9, 1994 Accepting new patients

Locations

100 Bailey Dr
Franklin, VA 23851
Phone (757) 562-6101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114958360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAILEY DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512427",
            "telephone_number": "757-562-6101",
            "fax_number": "757-562-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAILEY DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512427",
            "telephone_number": "757-562-6101",
            "fax_number": "757-562-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTEN",
        "first_name": "ERNEST",
        "middle_name": "BURDETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9232265",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

Verify at the official NPI Registry.