Individual provider Active NPI

Martha Gore, O.D.

  • Optometrist
  • Forrest City, AR
National Provider Identifier
1659340040
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2375 Issued in AR
Practice address
330 Dillard St
Forrest City, AR 72335-3260
Phone
(870) 633-1174
Fax
(870) 633-3838
NPI assigned
Mar 16, 2006
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2375 AR Primary

Addresses

Primary practice location

330 Dillard St
Forrest City, AR 72335-3260

Mailing address

330 Dillard St
Forrest City, AR 72335-3260
Phone (870) 633-1174

Other identifiers 1

IdentifierTypeStateIssuer
0160370002OtherARDEMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20040827000581 AR Practitioner - Optometry 5193790707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Dillard St
Forrest City, AR 72335-3260
Phone (870) 663-1174

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Vision Center Optometrist CurrentSince Apr 30, 2003 Accepting new patients
West Memphis Eye Center, PA PastSince May 1, 2005 Accepting new patients

Locations

330 Dillard St
Forrest City, AR 72335
Phone (870) 633-1174

Interoperability endpoints

  • Direct secure messaging: gore.martha.001.0040002@lvc.meditab.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1659340040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DILLARD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DILLARD ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353260",
            "telephone_number": "870-633-1174",
            "fax_number": "870-633-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC",
            "identifier": "0160370002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.