Active NPI
Gordon C. Schwenk, M.D.
- Ophthalmology Physician
- Ocala, FL
National Provider Identifier
1164414090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0044089
- Practice address
- 1500 SE Magnolia Ext
Suite 106
Ocala, FL 34471-4463 - Phone
- (352) 622-5183
- Fax
- (352) 622-1348
- NPI assigned
- Aug 17, 2005
- Last updated
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0044089 | FL | Primary |
Addresses
Primary practice location
1500 SE Magnolia Ext
Suite 106
Ocala, FL 34471-4463
Mailing address
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 622-5183
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79859 | Other | FL | BC/BS PROVIDER NUMBER |
| 068681600 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044089 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Eye Surgery Center Inc | Past | Accepting new patients | |
| Ocala Eye Optical, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Ocala, FL
- NPI 1912936568
-
dba Ocala Eye Surgery Center at Wildwood
- Ambulatory Surgical Clinic/Center
- Wildwood, FL
- NPI 1649043399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1164414090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 SW 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344744445",
"telephone_number": "352-622-5183",
"fax_number": "352-622-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SE MAGNOLIA EXT",
"address_2": "SUITE 106",
"city": "OCALA",
"state": "FL",
"postal_code": "344714463",
"telephone_number": "352-622-5183",
"fax_number": "352-622-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENK",
"first_name": "GORDON",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0044089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "79859",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068681600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.