Active NPI
Tanner Calvin Gates, O.D.
- Optometrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1362
- Practice address
- 5401 South St
Lincoln, NE 68506-2150 - Phone
- (402) 413-3531
- Fax
- (402) 413-3535
- NPI assigned
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1362 | NE | Primary |
Addresses
Primary practice location
5401 South St
Lincoln, NE 68506-2150
Mailing address
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096555007 | Other | NE | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102
8303 Dodge St
Omaha, NE 68114-4108
8303 W Dodge St
Omaha, NE 68114-4108
Phone (402) 354-9400
Hospital & facility affiliations
- The Nebraska Medical Center
- Madonna Rehabilitation Specialty Hospital Omaha
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Madonna Rehabilitation Hospital | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients |
Locations
5401 South St
Lincoln, NE 68506
Phone (402) 413-3000
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
17500 Burke St
Omaha, NE 68118
Phone (402) 401-3000
Interoperability endpoints
- tanner.gates@direct.nmhs.org
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Lincoln, NE
- NPI 1417045642
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1689628372
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Omaha, NE
- NPI 1376991752
Inpatient rehabilitation facility
-
- Long Term Care Hospital
- Omaha, NE
- NPI 1790285005
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1427360445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3531",
"fax_number": "402-413-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 SOUTH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062150",
"telephone_number": "402-413-3531",
"fax_number": "402-413-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "TANNER",
"middle_name": "CALVIN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "096555007",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.