Individual provider Active NPI

Cynthia G Fleitman V, O.D.

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1790762540
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5046TG Issued in TX
Practice address
2020 W Highway 82
Gainesville, TX 76240-2051
Phone
(912) 640-2020
Fax
(940) 612-0083
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 5046TG TX Primary

Addresses

Primary practice location

2020 W Highway 82
Gainesville, TX 76240-2051

Mailing address

2020 W Highway 82
Gainesville, TX 76240-2051
Phone (940) 612-2020

Other identifiers 1

IdentifierTypeStateIssuer
80263QOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100916001370 TX Practitioner - Optometry 4082739891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York Eye Associates, P.C.Group PAC ID 9234153651, 4 clinicians

Practice addresses (Care Compare)

2020 W Hwy 82
Gainesville, TX 76240-2051
Phone (940) 612-0085

Merit-based Incentive Payment System (MIPS)

Final score
74.14 of 100Reported as individual
Quality
62.26
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5046TXMDNutrition Education Nutritionist
5046TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
York Eye Associates, P.C. Optometrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

2020 W Highway 82
Gainesville, TX 76240
Phone (940) 612-0085

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1790762540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-2020",
            "fax_number": "940-612-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "912-640-2020",
            "fax_number": "940-612-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITMAN",
        "first_name": "CYNTHIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5046TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80263Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.