Individual provider Active NPI

Stephen L Gaal, O.D.

  • Optometrist
  • Charleston, WV
National Provider Identifier
1376569384
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
930-OD Issued in WV
Practice address
1301 Lee St E
Charleston, WV 25301-1928
Phone
(304) 343-3363
Fax
(304) 342-3311
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 930-OD WV Primary

Addresses

Primary practice location

1301 Lee St E
Charleston, WV 25301-1928

Mailing address

1301 Lee St E
Charleston, WV 25301-1928
Phone (304) 343-3363

Other identifiers 1

IdentifierTypeStateIssuer
0801871OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100603000255 WV Practitioner - Optometry 2062304645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walter S Ramsey OD PLLCGroup PAC ID 3072909399, 3 clinicians

Practice addresses (Care Compare)

1301 Lee St E
Charleston, WV 25301-1928
Phone (304) 343-3363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
930-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter S Ramsey OD PLLC Optometrist CurrentSince Jan 13, 2025 Accepting new patients

Locations

1301 Lee St E
Charleston, WV 25301
Phone (304) 343-3363

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1376569384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011928",
            "telephone_number": "304-343-3363",
            "fax_number": "304-342-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LEE ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011928",
            "telephone_number": "304-343-3363",
            "fax_number": "304-342-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAAL",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "930-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0801871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.