Active NPI
Gary Lee Tost, OD, LC
- Optometrist
- Gainesville, FL
National Provider Identifier
1497868996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1698
- Practice address
- 3654 SW Archer Rd
Gainesville, FL 32608-2413 - Phone
- (352) 264-0385
- Fax
- (352) 264-0386
- NPI assigned
- Aug 17, 2006
- 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 | OP1698 | FL | Primary |
Addresses
Primary practice location
3654 SW Archer Rd
Gainesville, FL 32608-2413
Mailing address
3654 SW Archer Rd
Gainesville, FL 32608-2413
Phone (352) 264-0385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620583600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1698 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1497868996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3654 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326082413",
"telephone_number": "352-264-0385",
"fax_number": "352-264-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3654 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326082413",
"telephone_number": "352-264-0385",
"fax_number": "352-264-0386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOST",
"first_name": "GARY",
"middle_name": "LEE",
"credential": "OD, LC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP1698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620583600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.