Active NPI
GS Eyecare
- Optometrist
- Cumming, GA
National Provider Identifier
1295995835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- L20063005
- Legal business name
- GS EYECARE
- Practice address
- 184 Tri County PLZ
Cumming, GA 30040-2729 - Phone
- (770) 844-8411
- Fax
- (770) 889-2191
- NPI assigned
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason K Gabrels, OD
- Title
- President
- Phone
- (770) 844-8411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | L20063005 | GA | Primary |
Addresses
Primary practice location
184 Tri County PLZ
Cumming, GA 30040-2729
Mailing address
184 Tri County PLZ
Cumming, GA 30040-2729
Phone (770) 844-8411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00069825A | Medicaid | GA | |
| 92534 | Medicaid | GA | |
| 101533 | Medicaid | GA | |
| 000873232A | Medicaid | GA |
Other names 1
- Eye Site of Cumming
National Provider Directory
National Provider Directory- Tax ID family
- GS Eyecare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Cleveland, GA
- NPI 1508185729
Locations
184 Tri County Plz
Cumming, GA 30040
Phone (770) 844-8411
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Optometrist
- Cleveland, GA
- NPI 1508185729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1295995835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 TRI COUNTY PLZ",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402729",
"telephone_number": "770-844-8411",
"fax_number": "770-889-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 TRI COUNTY PLZ",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402729",
"telephone_number": "770-844-8411",
"fax_number": "770-889-2191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GS EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "GABRELS",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-844-8411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "L20063005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00069825A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92534",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101533",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000873232A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Site of Cumming",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.