Individual provider Active NPI

David K. Gailing, OD

  • Optometrist
  • Jackson Heights, NY
National Provider Identifier
1821128356
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY TUV005437-3 Issued in NY
Practice address
8325 37TH Ave
Jackson Heights, NY 11372-7320
Phone
(718) 426-2725
Fax
(718) 426-9748
NPI assigned
Mar 6, 2007
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NY TUV005437-3 NY Primary

Addresses

Primary practice location

8325 37TH Ave
Jackson Heights, NY 11372-7320

Mailing address

8325 37TH Ave
Jackson Heights, NY 11372-7320
Phone (718) 426-2725

Other identifiers 1

IdentifierTypeStateIssuer
01429538MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110120000777 NY Practitioner - Optometry 7618156811 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY TUV005437-3NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Astoria Vision Center Inc Optometrist CurrentSince May 1, 2013 Accepting new patients
Empire Vision Center, Inc CurrentSince Dec 1, 2015 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Dec 1, 2015 Accepting new patients

Locations

3620 Broadway
Astoria, NY 11106
Phone (718) 204-2007

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1821128356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727320",
            "telephone_number": "718-426-2725",
            "fax_number": "718-426-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727320",
            "telephone_number": "718-426-2725",
            "fax_number": "718-426-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILING",
        "first_name": "DAVID",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY TUV005437-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01429538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.