Individual provider Active NPI

Jaime Shouse Gossan, O.D.

  • Optometrist
  • Boca Raton, FL
National Provider Identifier
1275827297
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5011 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170307002282 FL Practitioner - Optometry 2567639487 Reassigns benefits to 3 organizations
I20230720002328 OH Practitioner - Optometry 2567639487 Reassigns benefits to 1 organization
I20230726001597 IN Practitioner - Optometry 2567639487 Reassigns benefits to 1 organization

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
Boca Family Eye Care LLCGroup PAC ID 0345412045, 3 clinicians
American Health Network of Indiana LLCGroup PAC ID 9830093533, shared by 10 NPIs, 204 clinicians

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

LicenseStateTypeSpecialty
4680ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Insight of Palm Springs, LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
American Health Network of Indiana LLC Single Specialty CurrentSince Jun 3, 2023 Accepting new patients
American Health Network of Ohio, LLC Single Specialty CurrentSince Jun 7, 2023 Accepting new patients
American Health Network of Ohio, LLC Single Specialty CurrentSince Jun 7, 2023 Accepting new patients
American Health Network of Indiana, LLC Single Specialty CurrentSince Jun 3, 2023 Accepting new patients
Boca Family Eye Care, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
National Vision, Inc. Past Accepting new patients
Aeg Florida Professional PLLC Optometrist PastSince Jun 25, 2025 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Apr 26, 2021 Accepting new patients
Boca Family Eye Care Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Raymond E Schwartz PA Optometrist PastSince Sep 1, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.