Angela Gamble Doreck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7372TG Issued in TX

Practice address

6704 Sterling Ridge Dr Ste D
The Woodlands, TX 77382-2329

Phone

(281) 465-8300

Fax

(281) 465-8303

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Marie Gamble Former name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doreck Vision, LLC

  dba Willis Family Eyecare

  • Optometrist
  • Willis, TX
  • NPI 1952655649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1801120043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 STERLING RIDGE DR STE D",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822329",
            "telephone_number": "281-465-8300",
            "fax_number": "281-465-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 STERLING RIDGE DR STE D",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822329",
            "telephone_number": "281-465-8300",
            "fax_number": "281-465-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORECK",
        "first_name": "ANGELA",
        "middle_name": "GAMBLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7372TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GAMBLE",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Astrid Domenick, OT
• Jennifer S Dong, M.D.
• Suzanna Donovan
• Laura Ann Doocy
• Angela Doolittle, LPC
• Anna Lohanna Dos Dos Santos
• Melanie Sue Dossey, RN CNM
• Ashley Doty
• Hannah Doty
• Karley Theresa Dougherty, PT, DPT, OCS

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.