Organization Active NPI

GS Eyecare

  • Optometrist
  • Cumming, GA
National Provider Identifier
1295995835
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
L20063005 Issued in GA
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00069825AMedicaidGA
92534MedicaidGA
101533MedicaidGA
000873232AMedicaidGA

Other names 1

  • Eye Site of Cumming Other name

National Provider Directory

National Provider Directory
Tax ID family
GS Eyecare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.