Gerald Hazouri, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME13279 Issued in FL

Practice address

708 E University Ave
Gainesville, FL 32601

Phone

(352) 373-4300

Fax

(352) 372-1641

NPI assigned

Apr 1, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Florida Cataract Specialists and Vision Care LLC

  • Ophthalmology Physician
  • Newberry, FL
  • NPI 1043564982
  NPD (past)
• Optical Laboratory LLC

  • Eyewear Supplier
  • Gainesville, FL
  • NPI 1356459762
  NPD (past)

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1689635104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E UNIVERSITY AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015509",
            "telephone_number": "352-373-4300",
            "fax_number": "352-372-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E UNIVERSITY AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-373-4300",
            "fax_number": "352-372-1641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4313 NW 8TH AVENUE",
            "address_purpose": "LOCATION",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "country_code": "US",
            "telephone_number": "352-373-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZOURI",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME13279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED HEALTH PLAN",
            "identifier": "209027",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049691000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "01884",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Rachel Hazan, PA
• Kaushik Mohanlal Hazariwala, M.D.
• Johanna Hazellief
• Carolynn Hazen-Hamilton, DNP
• Kyle Hazen
• HCP Services, LLC
• Wei He, ARNP
• Ziting He
• Danielle L Head
• Erika Nichole Head

• Ophthalmology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.