Gary L. Wasserman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2136 Issued in FL

Practice address

13489 Walsingham Rd
Largo, FL 33774-3530

Phone

(727) 596-6315

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1205876919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BURLINGTON AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108429",
            "telephone_number": "727-347-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13489 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743530",
            "telephone_number": "727-596-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2136",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "5929A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Michele Ward, PHARMD
• Janita Marie Ward, APRN
• Mark V Ward, PA-C
• Ryan Richard Warner, DDS
• Stephen Carroll Warner Sr., DDS
• Madeline Waters, ARNP
• Naomi Ruth Waterskarrick, LMHC
• Joy Alia Watkins
• Tami Lynn Watkins, PA-C
• Amber Hobbs Watson, NP

• Optometrist in Largo, FL
• Providers in Largo, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.