Individual provider Active NPI

Gordon A Price, O.D.

  • Optometrist
  • Scituate, MA
National Provider Identifier
1124028030
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2268 Issued in MA
Practice address
85 Front St
Unit 81
Scituate, MA 02066-1315
Phone
(781) 545-0792
Fax
(781) 545-4323
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon a Price OD PC Optometrist CurrentSince Jan 3, 2008 Accepting new patients

Locations

85 Front St
Unit 81
Scituate, MA 02066
Phone (617) 299-1125

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2268 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

85 Front St
Unit 81
Scituate, MA 02066-1315

Mailing address

85 Front St
Unit 81
Scituate, MA 02066-1315
Phone (781) 545-0792

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0313165MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2009.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1124028030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FRONT ST",
            "address_2": "UNIT 81",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661315",
            "telephone_number": "781-545-0792",
            "fax_number": "781-545-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 FRONT ST",
            "address_2": "UNIT 81",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020661315",
            "telephone_number": "781-545-0792",
            "fax_number": "781-545-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "GORDON",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313165",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.