Eric E Gaylord, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT8724T Issued in CA

Practice address

3750 Santa Rosalia Dr Ste 102
Los Angeles, CA 90008-3685

Phone

(323) 294-7517

Fax

(323) 294-9219

NPI assigned

Dec 16, 2005

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

Enrolled in CA

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

Southern California College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Specialties IncGroup PAC ID 9234194556, 2 clinicians

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 and National Provider Directory roles.

• Optometric Specialties Inc

  • Optometrist
  • Los Angeles, CA
  • NPI 1023094570
  Medicare reassignment Care Compare group NPD Authorized official
• Optometric Specialties Inc

  dba Garden Grove Optometry

  • Optometrist
  • Garden Grove, CA
  • NPI 1952569634
  NPD Authorized official

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1255317780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SANTA ROSALIA DR STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083685",
            "telephone_number": "323-294-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SANTA ROSALIA DR STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083685",
            "telephone_number": "323-294-7517",
            "fax_number": "323-294-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3756 Santa Rosalia Dr",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900083606",
            "country_code": "US",
            "telephone_number": "323-294-7517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLORD",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8724T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "8724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Gayfield
• Gayle V Mitchell MD Inc
• Cherise Gayle, COUNSELOR
• Charles David Gayles
• Tuesday Gayles, COTA/L
• Pryce Tiffany Gaynor, M.D.
• Summer Lynaya Gaynor, LMFT
• Anyra Iordana Gaytan Gamiz
• Rodolfo Gaytan-Ramos III
• Carissa Joy Gaytan

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.