Active NPI
David Samuel Gamerman, O.D.
- Optometrist
- Reisterstown, MD
National Provider Identifier
1184956492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TA0882 | MD | MD | Optometrist |
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.