Gateway Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GATEWAY EYE CENTER LLC

Practice address

5502 Broadway Blvd
Garland, TX 75043-3639

Phone

(214) 887-3937

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Son

Title

Manager

Phone

(469) 951-0098

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance M Chong, O.D.

  • Optometrist
  • Garland, TX
  • NPI 1821190141
  Medicare reassignment NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1407463326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 BROADWAY BLVD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433639",
            "telephone_number": "214-887-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-951-0098"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "newvisioncenter@live.com",
            "affiliation": "N",
            "address_1": "5502 Broadway Blvd",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750433639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa D Garrett, PA-C
• Katherine Yoon Mee Garvey, MD
• Tara Garza, LCSW
• Michelle Lee Gascot, OTA
• Tewodros Kebede Gashaw
• Gatewood Pharmacy PLLC (Gatewood Pharmacy)
• Anne Prescott Gault, MS, LPC
• Kirubel Gebresenbet, DPM
• Rhonda G Gelbar
• Roxanne Laine Gelbar, P.A.-C

• Optometrist in Garland, TX
• Providers in Garland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.