NPIMap

Organization Active NPI

Eugene B. Gabianelli, MD & Assoc. LLC

Doing business as Georgia Eye Partners

  • Durable Medical Equipment & Medical Supplies
  • Dallas, GA
National Provider Identifier
1285237362
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EUGENE B. GABIANELLI, MD & ASSOC. LLC
Doing business as
Georgia Eye Partners
Practice address
290 Merchants SQ Ste I
Dallas, GA 30132-0930
Phone
(770) 445-8885
Fax
(770) 445-8540
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Eugene B. GabianelliNPI 1104838697
Title
Managing Partner
Phone
(404) 897-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

290 Merchants SQ Ste I
Dallas, GA 30132-0930

Mailing address

550 Peachtree St NE Ste 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Other names 1

  • GEORGIA EYE PARTNERS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210416000614 GA DME Supplier - Physician - Optometrist 5193702512 Practice locations: Dallas, GA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2260343Georgia Eye Partners290 Merchants Square Suite I, Dallas, GA 30132Certificate of waiverMay 17, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eugene B Gabianelli MD & Assoc LLC290 Merchants SQ, Dallas, GA 30132-0930(770) 445-8885 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Eugene B Gabianelli MD Assoc LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1285237362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082248",
            "telephone_number": "404-897-6810",
            "fax_number": "404-897-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERCHANTS SQ STE I",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320930",
            "telephone_number": "770-445-8885",
            "fax_number": "770-445-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE B. GABIANELLI, MD & ASSOC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GABIANELLI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-897-6810"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGIA EYE PARTNERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.