William Gebhard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5377 Issued in FL

Practice address

14866 Old St Augustine Rd
Unit 110
Jacksonville, FL 32258-2611

Phone

(904) 379-5450

Fax

(904) 372-8223

NPI assigned

Sep 12, 2017

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  Medicare reassignment Care Compare group NPD
• North Florida Vision Group Inc

  dba Trillium Eye Care

  • Optometrist
  • Jacksonville, FL
  • NPI 1467991950
  Medicare reassignment
• First Coast Hearing Clinic, Inc.

  • Audiologist
  • Palm Coast, FL
  • NPI 1750504718
  NPD
• Optometry Vision Care PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1679013932
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1710406525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14866 OLD ST AUGUSTINE RD",
            "address_2": "UNIT 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450",
            "fax_number": "904-372-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD ST AUGUSTINE RD",
            "address_2": "UNIT 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582611",
            "telephone_number": "904-379-5450",
            "fax_number": "904-372-8223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4788 Hodges Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322247223",
            "country_code": "US",
            "telephone_number": "904-992-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Ponce De Leon Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320846013",
            "country_code": "US",
            "telephone_number": "904-824-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBHARD",
        "first_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GBT Lba
• Gdmjax LLC
• Ashley Davis Gearen
• Geaux Major Health LLC
• Caitlyn Gebhard, PT, DPT
• Stephanie Pearson Gebhardt, APRN
• Abel Gebre
• Astaire Gebremedhin
• Zena Gebretsadik
• Naomi Gebru

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.