Jeffery Eugene Gates, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WV-903OD Issued in WV

Practice address

552 Emily Dr
Clarksburg, WV 26301-5508

Phone

(304) 623-2892

Fax

(304) 622-2809

NPI assigned

Apr 12, 2007

Last updated

Jul 9, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Optometry

Education

Southern College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffery E. Gates, OD

  • Optometrist
  • Clarksburg, WV
  • NPI 1932318052
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598989246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAK LN",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301385",
            "telephone_number": "304-842-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015508",
            "telephone_number": "304-623-2892",
            "fax_number": "304-622-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JEFFERY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV-903OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149812000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149812001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Garrison, DO
• Ty Garrison, PHARMACIST
• Melonda Lea Gary, LPTA
• Pamela Christina Gaskins, LMT
• Nicholas Anthony Gaston, PHARMD
• Susan Kaye Gaus, MSW
• Genesis Youth Crisis Center
• Genesis Youth Crisis Center Inc (Genesis Family Development Services)
• Genesis Youth Crisis Center, Inc. (Diagnostic at Laurel Park)
• Genesis Youth Crisis Center, Inc. (Alta Vista Children's Shelter)

• Optometrist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.