Individual provider Active NPI

Gary L Farley, OD

  • Optometrist
  • Colonial Heights, VA
National Provider Identifier
1699715698
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000043 Issued in VA
Practice address
3731 Blvd
Ste a
Colonial Heights, VA 23834
Phone
(804) 526-3676
Fax
(804) 520-5781
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000043 VA Primary

Addresses

Primary practice location

3731 Blvd
Ste a
Colonial Heights, VA 23834

Mailing address

3731 Blvd
Ste a
Colonial Heights, VA 23834
Phone (804) 526-3676

Other identifiers 3

IdentifierTypeStateIssuer
014917OtherVAANTHEM
410008652AOtherVAMEDICARE RR
9206931MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110426000599 VA Practitioner - Optometry 7012045321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Gilbert and Farley OdpcGroup PAC ID 8123156437, 3 clinicians

Practice addresses (Care Compare)

3731 Boulevard
Suite a
Colonial Heights, VA 23834-1346
Phone (804) 526-3676

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000043VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Gilbert & Farley Odpc Optometrist CurrentSince Feb 25, 1987 Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

3731 Boulevard
Colonial Heights, VA 23834
Phone (804) 526-3676

3731 Boulevard
Ste A
Colonial Hgts, VA 23834
Phone (804) 526-3676

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1699715698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 BLVD",
            "address_2": "STE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-3676",
            "fax_number": "804-520-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 BLVD",
            "address_2": "STE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-526-3676",
            "fax_number": "804-520-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "014917",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410008652A",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9206931",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.