Lynn R Gabe, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

68 Issued in AZ

Practice address

280 N White Mountain Rd
Ste 18a
Show Low, AZ 85901-5273

Phone

(928) 537-5565

Fax

(928) 537-7597

NPI assigned

Mar 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1346218591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N WHITE MOUNTAIN RD",
            "address_2": "STE 18A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015273",
            "telephone_number": "928-537-5565",
            "fax_number": "928-537-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N WHITE MOUNTAIN RD",
            "address_2": "STE 18A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015273",
            "telephone_number": "928-537-5565",
            "fax_number": "928-537-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABE",
        "first_name": "LYNN",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0170430",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Founders Healthcare, LLC
• Rhonda Fountain, MS, LIAC
• Joshua Steven Fowler, PA-C
• Lyndsay Leigh Rebecca Funk-Purcell, NP
• Bonnie Lynne Funk, DMD
• Gabriel Outreach Inc
• Simranjit Singh Galhotra, MD, MBA
• Deborah Kim Gardner, APRN, FNP
• Jordan Gardner
• Sarah Garfield

• All providers in Show Low, AZ
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.