Active NPI
Gateway Vision Inc
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GATEWAY VISION INC
- Practice address
- 1840 Dunn Ave
Suite 4
Jacksonville, FL 32218-4799 - Phone
- (904) 751-4483
- NPI assigned
- Apr 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard S Grimshaw, O.D.
- Title
- Owner/Optometrist
- Phone
- (904) 751-4483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
1840 Dunn Ave
Suite 4
Jacksonville, FL 32218-4799
Mailing address
447 Atlantic Blvd
Suite #1
Atlantic Beach, FL 32233-4004
Phone (904) 247-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Vision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Atlantic Beach, FL
- NPI 1205885886
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Jacksonville, FL
- NPI 1912963877
-
- Optometrist
- Jacksonville, FL
- NPI 1245616317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448323200000",
"number": "1740548767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 ATLANTIC BLVD",
"address_2": "SUITE #1",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322334004",
"telephone_number": "904-247-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 DUNN AVE",
"address_2": "SUITE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184799",
"telephone_number": "904-751-4483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY VISION INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2015-11-24",
"status": "A",
"authorized_official_last_name": "GRIMSHAW",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "904-751-4483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.