Marc Randolph Gilbert, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3858T056 Issued in OH

Practice address

813 Troy St
Dayton, OH 45404-1852

Phone

(937) 228-2020

Fax

(937) 228-8769

NPI assigned

Jun 21, 2005

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Dayton Optometric Center Inc.

  • Optometrist
  • Dayton, OH
  • NPI 1194722603
  Medicare reassignment NPD

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1659377190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 TROY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 TROY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041852",
            "telephone_number": "937-228-2020",
            "fax_number": "937-228-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MARC",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3858T056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631883",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "310928411027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "310928411026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Gilbert, CDCA
• Deja Gilbert
• Heath Bradley Gilbert, O.D.
• Kamilah Gilbert
• Kareem A Gilbert
• Marin Gilbert, RD, LD
• Natasha Gilbert
• Rachel C Gilbert, QMHS-M
• Roberta Gilbert
• Tracey Denise Gilbert

• Optometrist in Dayton, OH
• Providers in Dayton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.