Individual provider Active NPI

David Samuel Gamerman, O.D.

  • Optometrist
  • Reisterstown, MD
National Provider Identifier
1184956492
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0882 Issued in MD
Practice address
2309 Tufton Springs LN
Reisterstown, MD 21136-5542
Phone
(443) 520-8585
Fax
(410) 561-4742
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0882 MD Primary
Corneal and Contact Management Optometrist 152WC0802X TA0882 MD

Addresses

Primary practice location

2309 Tufton Springs LN
Reisterstown, MD 21136-5542

Mailing address

2309 Tufton Springs LN
Reisterstown, MD 21136-5542
Phone (443) 520-8585

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TA0882MDMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1184956492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 TUFTON SPRINGS LN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365542",
            "telephone_number": "443-520-8585",
            "fax_number": "410-561-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 TUFTON SPRINGS LN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365542",
            "telephone_number": "443-520-8585",
            "fax_number": "410-561-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMERMAN",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0882",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA0882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.