Individual provider Active NPI

Rebecca Lynn Gambs, O.D.

  • Optometrist
  • New Philadelphia, OH
National Provider Identifier
1245527423
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6039/T2954 Issued in OH
Practice address
217 N Broadway St
New Philadelphia, OH 44663-2611
Phone
(330) 343-8863
Fax
(330) 343-3590
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6039/T2954 OH Primary

Addresses

Primary practice location

217 N Broadway St
New Philadelphia, OH 44663-2611

Mailing address

70 N Lisbon St
Carrollton, OH 44615-1326
Phone (330) 627-2430

Other identifiers 1

IdentifierTypeStateIssuer
0052826MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20110823000228 OH Practitioner - Optometry 1153591573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 N Broadway St
New Philadelphia, OH 44663-2611
Phone (330) 343-8863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6039/T2954OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eye Care of Tuscarawas County LLC Optometrist CurrentSince Feb 16, 2017 Accepting new patients
Darrell L Laughlin OD Inc PastSince Mar 1, 2017 Accepting new patients

Locations

217 N Broadway St
New Philadelphia, OH 44663
Phone (330) 343-8863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1245527423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N LISBON ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151326",
            "telephone_number": "330-627-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N BROADWAY ST",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632611",
            "telephone_number": "330-343-8863",
            "fax_number": "330-343-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6039/T2954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.