Larry Charles Gabriel, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME111546 Issued in FL

Practice address

1034 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547-6639

Phone

(850) 862-4001

Fax

(850) 862-1612

NPI assigned

Aug 13, 2006

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

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.

• Emerald Coast Eye Institute LLC

  • Ophthalmology Physician
  • Fort Walton Beach, FL
  • NPI 1669421467
  Medicare reassignment NPD
• Emerald Coast Eye Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1164638680

  Ophthalmology

  NPD
• James P. Powers D.O., P.a.

  dba Healthy Vision

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1376596551
  NPD (past)
• The Dietitians Group of West Florida, Inc.

  • Registered Dietitian
  • Palm Harbor, FL
  • NPI 1295161040
  NPD (past)
• Sightline Ophthalmic Associates, P.C.

  • Ophthalmology Physician
  • Wexford, PA
  • NPI 1346366143
  NPD (past)
• Sightline SS LLC

  • Ambulatory Surgical Clinic/Center
  • Sewickley, PA
  • NPI 1578201851
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1184637282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "SUITE 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-862-4001",
            "fax_number": "850-862-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAR WALT DR",
            "address_2": "STE 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476639",
            "telephone_number": "850-862-4001",
            "fax_number": "850-862-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "LARRY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME111546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9667180001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Furlong, COTA
• Carol Furr
• Thomas Arthur Fusco, D.P.M.
• Krista Maria Fylak, MA, OTR/L
• Mackenzie Anne Gabreski, LPC, LCPC, LIMHP
• Jacqueline Desiree Gagnon
• Maria Elen P. Gajo, MD
• Omer Gal, M.D.
• Kathleen S Gallardo, LMT
• Mary Ganz, PT, DPT

• Ophthalmology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.