Individual provider Active NPI

Gary G. Nance, D.O.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1699706143
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
705T Issued in TN
Practice address
3445 Poplar Ave
Suite 7
Memphis, TN 38111-4667
Phone
(901) 458-2020
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 705T TN Primary

Addresses

Primary practice location

3445 Poplar Ave
Suite 7
Memphis, TN 38111-4667

Mailing address

3445 Poplar Ave
Suite 7
Memphis, TN 38111-4667
Phone (901) 458-2020

Other identifiers 1

IdentifierTypeStateIssuer
0784010001OtherTNDMERC REGION C PALMETTO GBA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040408001252 TN Practitioner - Optometry 6901899699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometry GroupGroup PAC ID 7214920909, 3 clinicians

Practice addresses (Care Compare)

3445 Poplar Ave
Suite 7
Memphis, TN 38111-4667
Phone (901) 458-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
705TTNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometry Group Optometrist CurrentSince Sep 3, 2002 Accepting new patients

Locations

3445 Poplar Ave
Ste 7
Memphis, TN 38111
Phone (901) 458-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1699706143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "SUITE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-458-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE",
            "address_2": "SUITE 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-458-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "GARY",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "705T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION C PALMETTO GBA",
            "identifier": "0784010001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.