Individual provider Active NPI

Robert F Gigliotti, O.D.

  • Optometrist
  • Cumming, GA
National Provider Identifier
1306946496
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1644 Issued in GA
Practice address
5485 Bethelview Rd Ste 320
Cumming, GA 30040-9737
Phone
(678) 513-8686
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1644 GA Primary

Addresses

Primary practice location

5485 Bethelview Rd Ste 320
Cumming, GA 30040-9737

Mailing address

5485 Bethelview Rd Ste 320
Cumming, GA 30040-9737
Phone (678) 513-8686

Other identifiers 1

IdentifierTypeStateIssuer
202I412401OtherGAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000052 GA Practitioner - Optometry 4688682404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5485 Bethelview Rd
Suite 320
Cumming, GA 30040-9737
Phone (678) 513-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1644GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bethelview Eyecare Inc Optometrist CurrentSince Apr 1, 2000 Accepting new patients

Locations

5485 Bethelview Rd
Ste 320
Cumming, GA 30040
Phone (678) 513-8686

Organizations & group practices 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1306946496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 320",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409737",
            "telephone_number": "678-513-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD STE 320",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409737",
            "telephone_number": "678-513-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGLIOTTI",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202I412401",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.