Gary Thomas Pence, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1290-T Issued in GA

Practice address

4651 Chamblee Dunwoody Rd
Suite a
Atlanta, GA 30338-6339

Phone

(770) 394-2110

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gpence@teg.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas Eye Group PC

  dba Thomas Eye Group

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992

  Optometrist

  Medicare reassignment Care Compare group NPD
• Thomas Eye Group PC

  dba Thomas Eye Group

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• Thomas Eye Group PC

  dba Thomas Eye Group

  • Optometrist
  • Atlanta, GA
  • NPI 1811653322
  NPD
• Medprime, LLC

  dba Wellness Plus Clinic

  • General Practice Physician
  • Atlanta, GA
  • NPI 1578843256
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316002926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SPINNAKER DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965264",
            "telephone_number": "770-623-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386339",
            "telephone_number": "770-394-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1290-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marioly Pena-Donady
• Gyliann M Pena
• Juan Armando Pena, MD
• Mariana Andrea Pena, B.S.
• Carla Daniela Penaherrera, FNP
• Laura Pencea
• Viorica Mihaela Pencea, MD
• Amanda Pencek, RDN
• Bojana Borislavova Pencheva, GENETIC COUNSELOR
• Carlotta R Pender, MA, LPC

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.