Individual provider Active NPI

Gustavo Garmizo, OD

  • Optometrist
  • Tamarac, FL
National Provider Identifier
1154339000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1743 Issued in FL
Practice address
7822 N University Drive
Tamarac, FL 33321-2114
Phone
(954) 726-0204
Fax
(954) 721-1578
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 OPC1743 FL Primary

Addresses

Primary practice location

7822 N University Drive
Tamarac, FL 33321-2114

Mailing address

7822 N University Drive
Tamarac, FL 33321-2114
Phone (954) 726-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090721000647 FL Practitioner - Optometry 5294887394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everything Eyes, IncGroup PAC ID 2567514664, 3 clinicians

Practice addresses (Care Compare)

16950 Jog Rd
Suite 107
Delray Beach, FL 33446-2353
Phone (561) 499-2055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Broward Eyecare Associates Inc Optometrist CurrentSince Dec 21, 2000 Accepting new patients
Everything Eyes, Inc Optometrist CurrentSince Jul 1, 2009 Accepting new patients
Marc Jay Gannon Optometrist PA PastSince Jul 1, 2009 Accepting new patients

Locations

16950 S Jog Rd
Delray Beach, FL 33446
Phone (561) 499-2055

16950 S Jog Rd
Ste 107
Delray Beach, FL 33446
Phone (561) 499-2055

7822 N University Dr
Tamarac, FL 33321
Phone (954) 726-0204

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154339000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 N UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212114",
            "telephone_number": "954-726-0204",
            "fax_number": "954-721-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7822 N UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212114",
            "telephone_number": "954-726-0204",
            "fax_number": "954-721-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMIZO",
        "first_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.