Organization Active NPI

Gee & Doherty Optometry, P.C.

  • Optometrist
  • Concord, CA
National Provider Identifier
1679691638
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11126 Issued in CA
Legal business name
GEE & DOHERTY OPTOMETRY, P.C.
Practice address
5100 Clayton Rd
Suite D30
Concord, CA 94521-3139
Phone
(925) 825-1090
Fax
(925) 825-1095
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Bryan Doherty, O.D.NPI 1972645943
Title
President
Phone
(925) 825-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11126 CA Primary

Addresses

Primary practice location

5100 Clayton Rd
Suite D30
Concord, CA 94521-3139

Mailing address

5100 Clayton Rd
Suite D30
Concord, CA 94521-3139
Phone (925) 825-1090

Other names 1

  • Concord Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000780 CA Part B Supplier - Clinic/Group Practice 1951499912 Receives reassigned benefits from 2 practitioners
Practice locations: Concord, CA

National Provider Directory

National Provider Directory

Locations

5100 Clayton Rd
Ste D30
Concord, CA 94521
Phone (925) 825-1090

5100 Clayton Rd
Concord, CA 94521
Phone (925) 671-8018

5100 Clayton Rd
Ste 30
Concord, CA 94521
Phone (925) 825-1090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1679691638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CLAYTON RD",
            "address_2": "SUITE D30",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213139",
            "telephone_number": "925-825-1090",
            "fax_number": "925-825-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 CLAYTON RD",
            "address_2": "SUITE D30",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213139",
            "telephone_number": "925-825-1090",
            "fax_number": "925-825-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEE & DOHERTY OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-825-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.