Individual provider Active NPI

Robert C Gates, O.D.

  • Optometrist
  • Dallas, TX
National Provider Identifier
1679912513
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8082TG Issued in TX
Practice address
18800 Preston Rd
Ste 310
Dallas, TX 75252-2449
Phone
(214) 697-6107
Fax
(972) 758-7277
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8082TG TX Primary

Addresses

Primary practice location

18800 Preston Rd
Ste 310
Dallas, TX 75252-2449

Mailing address

18800 Preston Rd
Ste 310
Dallas, TX 75252-2449
Phone (214) 697-6107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170501000895 TX Practitioner - Optometry 2466739495
I20240223003562 AZ Practitioner - Optometry 2466739495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8082TXMDBehavioral Analyst
8082TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Jan 10, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1679912513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD",
            "address_2": "STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522449",
            "telephone_number": "214-697-6107",
            "fax_number": "972-758-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD",
            "address_2": "STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522449",
            "telephone_number": "214-697-6107",
            "fax_number": "972-758-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8082TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.