Organization Active NPI

Gateway Ophthalmology, P.L.L.C

  • Ophthalmology Physician
  • Jamestown, NY
National Provider Identifier
1538524798
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GATEWAY OPHTHALMOLOGY, P.L.L.C
Practice address
27 Porter Ave
Jamestown, NY 14701-6221
Phone
(716) 483-2020
Fax
(716) 488-9295
NPI assigned
Dec 15, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Debra Wright
Title
Administrator
Phone
(716) 483-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

27 Porter Ave
Jamestown, NY 14701-6221

Mailing address

27 Porter Ave
Jamestown, NY 14701-6221
Phone (716) 483-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160122000696 PA Part B Supplier - Clinic/Group Practice 1456654698 Receives reassigned benefits from 4 practitioners
Practice locations: Bradford, PA
O20160222002187 NY Part B Supplier - Clinic/Group Practice 1456654698 Receives reassigned benefits from 3 practitioners
Practice locations: Jamestown, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1538524798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY OPHTHALMOLOGY, P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-483-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.