David Randolph Gore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601002328 Issued in VA

Practice address

6727 Lea Berry Way
Haymarket, VA 20169-2991

Phone

(703) 753-6633

Fax

(703) 753-6655

NPI assigned

Jun 19, 2007

Last updated

Jan 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• David R. Gore, O.D. P.C.

  • Optometrist
  • Haymarket, VA
  • NPI 1033101498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1245435387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 TILLINGHAST LN",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553819",
            "telephone_number": "703-753-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 LEA BERRY WAY",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201692991",
            "telephone_number": "703-753-6633",
            "fax_number": "703-753-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "DAVID",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601002328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant of Maryland LLC (Giant Pharmacy #790)
• Dorris Lockamy Glaspy, FNP-C
• Daniel David Goerl, O.D.
• Steven W Goozh, D.D.S.
• Milton Gordon
• Heidi D. Gorsuch-Rafferty, MD
• Hadley Graham, PT
• Heidi S Graybill
• Ian Thomas Greenwalt, M.D.
• Michelle Lee Grgurovich, PTA

• Optometrist in Haymarket, VA
• Providers in Haymarket, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.