Organization Active NPI

Gateway Ophthalmology, P.L.L.C

  • Ophthalmology Physician
  • Bradford, PA
National Provider Identifier
1194179382
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD047466L Issued in PA
Legal business name
GATEWAY OPHTHALMOLOGY, P.L.L.C
Practice address
2 Main St
Suite 500
Bradford, PA 16701-2035
Phone
(814) 362-7477
Fax
(814) 362-4975
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Debra Marie Wright
Title
Administrator
Phone
(716) 483-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD047466L PA Primary

Addresses

Primary practice location

2 Main St
Suite 500
Bradford, PA 16701-2035

Mailing address

27 Porter Ave
Jamestown, NY 14701-6221
Phone (716) 483-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1194179382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "address_2": "SUITE 500",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012035",
            "telephone_number": "814-362-7477",
            "fax_number": "814-362-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY OPHTHALMOLOGY, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-483-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD047466L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.