Individual provider Active NPI

Natasha V. Gaukhshteyn, O.D.

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1376683623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3343 Issued in FL
Practice address
33330 US Highway 19 N
Palm Harbor, FL 34684-3129
Phone
(727) 789-0430
Fax
(727) 786-3624
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3343 FL Primary

Addresses

Primary practice location

33330 US Highway 19 N
Palm Harbor, FL 34684-3129

Mailing address

33330 US Highway 19 N
Palm Harbor, FL 34684-3129
Phone (727) 789-0430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090727000390 FL Practitioner - Optometry 3173676970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Optometry PAGroup PAC ID 0941359533, 22 clinicians

Practice addresses (Care Compare)

27835 Wesley Chapel Blvd
Wesley Chapel, FL 33544-4201
Phone (813) 907-9122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Oct 19, 2013 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Professional Eyecare Consultants PA Optometrist PastSince Aug 25, 2013 Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

27835 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 907-9122

27835 Wesley Chapel Blvd
Ste 110
Wesley Chapel, FL 33544
Phone (813) 907-9122

Organizations & group practices 4

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376683623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33330 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843129",
            "telephone_number": "727-789-0430",
            "fax_number": "727-786-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33330 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843129",
            "telephone_number": "727-789-0430",
            "fax_number": "727-786-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUKHSHTEYN",
        "first_name": "NATASHA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.