Bruce Ira Gaynes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

8300 Knox Ave
Skokie, IL 60076-2669

Phone

(847) 673-2255

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457576233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 KNOX AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762669",
            "telephone_number": "847-673-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 KNOX AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762669",
            "telephone_number": "847-673-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYNES",
        "first_name": "BRUCE",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Garza
• Richard P Gaskill, M.D.
• Jonathan Gasser, DDS
• Gateway Professional Services, PC
• Gathering Valley Center
• Glenn S Gayondato, PT
• Kirsten Eileen Geary, M.D.
• Henelie May Gegantenio, FNP-BC
• Asher S Gelman, DMD
• Michelle Gelman, NURSE PRACTITIONER

• Optometrist in Skokie, IL
• Providers in Skokie, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.