Active NPI
Jaime Shouse Gossan, O.D.
- Optometrist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5011
- Practice address
- 7050 W Palmetto Park Rd Ste 25
Boca Raton, FL 33433-3462 - Phone
- (561) 837-2228
- NPI assigned
- Jun 7, 2011
- Last updated
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC5011 | FL | Primary |
| Optometrist | 152W00000X | OPT002668 | GA |
Addresses
Primary practice location
7050 W Palmetto Park Rd Ste 25
Boca Raton, FL 33433-3462
Mailing address
7050 W Palmetto Park Rd Ste 25
Boca Raton, FL 33433-3462
Phone (561) 837-2228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Health Network of Indiana LLC
Practice addresses (Care Compare)
1001 SW 2ND Ave
Suite 4000
Boca Raton, FL 33432-7250
Phone (561) 391-2362
4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500
7384 Moneta St
Lake Worth, FL 33467-5204
Phone (952) 251-0932
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4680 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Insight of Palm Springs, LLC | Optometrist | Current | Accepting new patients |
| American Health Network of Indiana LLC | Single Specialty | Current | Accepting new patients |
| American Health Network of Ohio, LLC | Single Specialty | Current | Accepting new patients |
| American Health Network of Ohio, LLC | Single Specialty | Current | Accepting new patients |
| American Health Network of Indiana, LLC | Single Specialty | Current | Accepting new patients |
| Boca Family Eye Care, LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| Aeg Florida Professional PLLC | Optometrist | Past | Accepting new patients |
| Clarkson Optometry Georgia Inc | Optometrist | Past | Accepting new patients |
| Boca Family Eye Care | Optometrist | Past | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| Raymond E Schwartz PA | Optometrist | Past | Accepting new patients |
Locations
1001 SW 2nd Ave
Ste 4000
Boca Raton, FL 33432
Phone (561) 391-2362
9858 Clint Moore Rd
Ste 107
Boca Raton, FL 33496
Phone (203) 606-4256
9858 Clint Moore Rd
Ste C107
Boca Raton, FL 33496
Phone (561) 479-0521
3015 S Congress Ave
Ste 9
Palm Springs, FL 33461
Phone (561) 967-4355
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500
503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 535-7447
2500 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 794-4500
4882 E Main St
Ste 200
Columbus, OH 43213
Phone (614) 237-0835
680 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 986-0125
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecga
Organizations & group practices 12
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.
-
- Optometrist
- Boca Raton, FL
- NPI 1962790972
-
dba Optical Insight
- Optometrist
- Palm Springs, FL
- NPI 1154780773
-
dba American Health Network of Indiana LLC/TELERADIOLOGY
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
FL, Single Specialty
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
Single Specialty
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
Single Specialty
-
dba American Health Network of Ohio LLC / TELERADIOLOGY
- Radiology Clinic/Center
- Columbus, OH
- NPI 1548142987
Single Specialty
-
- Optometrist
- Jacksonville, FL
- NPI 1164156246
-
- Optometrist
- Coral Springs, FL
- NPI 1376977686
-
- Optometrist
- Palm Springs, FL
- NPI 1861651978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1275827297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 W PALMETTO PARK RD STE 25",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333462",
"telephone_number": "561-837-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 W PALMETTO PARK RD STE 25",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333462",
"telephone_number": "561-837-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSAN",
"first_name": "JAIME",
"middle_name": "SHOUSE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5011",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.