Active NPI
Martha Gore, O.D.
- Optometrist
- Forrest City, AR
National Provider Identifier
1659340040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2375
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160370002 | Other | AR | DEMERC |
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
Enrollment records 1
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Vision Center | Optometrist | Current | Accepting new patients |
| West Memphis Eye Center, PA | Past | Accepting new patients |
Locations
330 Dillard St
Forrest City, AR 72335
Phone (870) 633-1174
Interoperability endpoints
- 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.
-
- Optometrist
- Forrest City, AR
- NPI 1215034699
-
dba Glen Edward Bryant jr.
- Ophthalmology Physician
- West Memphis, AR
- NPI 1205860459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.