Jimmy S Gandy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1114-186AT Issued in LA

Practice address

107 Maxwell Dr
Rayville, LA 71269-5558

Phone

(318) 728-2299

Fax

(318) 728-0081

NPI assigned

Jun 16, 2005

Last updated

Nov 27, 2018By the provider in NPPES

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 LA

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

Southern College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gandy Eye Care a ProfessionalGroup PAC ID 7719073857, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gandy Eye Care a Professional

  • Optometrist
  • Rayville, LA
  • NPI 1447458286
  Medicare reassignment Care Compare group NPD
• Dr Elvis Surles a Professional Optometry Corporation

  • Optometrist
  • Monroe, LA
  • NPI 1942487087
  NPD (past)
• Moss Eye Care, LLC

  • Optometrist
  • Monroe, LA
  • NPI 1700147931
  NPD (past)
• W E Marionneaux Jr OD LLC

  • Optometrist
  • Winnsboro, LA
  • NPI 1205028057
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1366447310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 HIGHWAY 15",
            "city": "MANGHAM",
            "state": "LA",
            "postal_code": "712595166",
            "telephone_number": "318-248-3321",
            "fax_number": "318-728-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAXWELL DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712695558",
            "telephone_number": "318-728-2299",
            "fax_number": "318-728-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "JIMMY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1114-186AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1936251",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Brandenburg Flanagan
• Dwight Aaron Foster, CIT
• Shelly King Foster, LOTR
• Philip S Gaharan, LAC
• Gandy Eye Care a Professional
• Rachel B Gandy, LCSW
• Stacy G Gandy, O.D.
• Jennifer Anne Garrett, NP
• Angela Clark Gill, FNP-C
• Gordon B Massengale a Medical Corp

• Optometrist in Rayville, LA
• Providers in Rayville, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.