Georgietta R Gdovin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000359 Issued in PA

Practice address

101 Montgomery Mall
North Wales, PA 19454

Phone

(215) 361-2400

Fax

(215) 361-0917

NPI assigned

Sep 6, 2006

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gretchen J Brewer, OD & Associates, Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1386731727
  Medicare reassignment NPD
• Visual Eyes

  • Optometrist
  • Huntingdon Valley, PA
  • NPI 1982663548
  Medicare reassignment NPD

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1518060482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MONTGOMERY MALL",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543903",
            "telephone_number": "215-361-2400",
            "fax_number": "215-361-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MONTGOMERY MALL",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "19454",
            "telephone_number": "215-361-2400",
            "fax_number": "215-361-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GDOVIN",
        "first_name": "GEORGIETTA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001954598 0008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl Valentine Guinto Galido, DO
• John M Gatto, RPH
• Erin Gaul, MS, CCC-SLP
• Gaurdian Health Services
• Caroline Elizabeth Gavin, MA, CF-SLP
• Julie Gentile, M.A.
• Genuardi's Family Markets LP GFM (Genuardi's Pharmacy #2010)
• Amal M Ghoubrial, RPH
• Giant Food Stores LLC (Giant Pharmacy #6521)
• Lisa M Giordano, MPT

• Optometrist in North Wales, PA
• Providers in North Wales, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.