John Matthew Gill, OD and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOHN MATTHEW GILL, OD AND ASSOCIATES

Practice address

4500 N. Oracle Road, Suite 423
Tucson, AZ 85705

Phone

(520) 888-3624

Fax

(520) 888-2210

NPI assigned

Feb 17, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Matthew B Gill, O.D.NPI 1205278900

Title

Optomestrist/Practice Owner

Phone

(602) 625-5017

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.

• John Matthew B Gill, O.D.

  • Optometrist
  • Tucson, AZ
  • NPI 1205278900
  NPD Authorized official

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1184257347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 E RIVER FALLS DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "602-625-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N. ORACLE ROAD, SUITE 423",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85705",
            "telephone_number": "520-888-3624",
            "fax_number": "520-888-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MATTHEW GILL, OD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JOHN MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OPTOMESTRIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "602-625-5017",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

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• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.