Gainesville Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5328 Issued in FL

Legal business name

GAINESVILLE VISION LLC

Practice address

2677 SW 87TH Dr
Gainesville, FL 32608-9383

Phone

(352) 448-3932

NPI assigned

Jun 24, 2018

Organization subpart

No

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

Authorized official

Name

Marc Robinson, ODNPI 1619324308

Title

MGR

Phone

(352) 448-3932

Specialties & licenses 1

Addresses

Other names 1

• Gainesville Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Robinson, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1619324308
  Medicare reassignment Care Compare group NPD Authorized official
• Noble Chun, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1639922552
  Medicare reassignment Care Compare group NPD
• Emma Delise Stewart-Bates, OD, MS

  • Optometrist
  • Gainesville, FL
  • NPI 1790369924
  Medicare reassignment NPD

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1740775600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089383",
            "telephone_number": "352-448-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-448-3932",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gainesville Vamc
• Gainesville Vamc
• Gainesville Vamc
• Gainesville Vamc
• Gainesville Vision Center PA
• Gainesville Woman Care, LLC
• Aubrey Gainey
• Petique Gainey
• Alicia C Gaither
• Tanika Denise Gaither

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.

Verify at the official NPI Registry.