Gary P Gegerson, O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC001575 Issued in FL

Legal business name

GARY P GEGERSON, O.D.,P.A.

Practice address

12139 S Dixie Hwy
Pinecrest, FL 33156-5200

Phone

(305) 256-2525

Fax

(305) 252-7770

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Paul Gegerson, O.D,NPI 1417026824

Title

President

Phone

(305) 256-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Paul Gegerson, O.D.

  • Optometrist
  • Pinecrest, FL
  • NPI 1417026824
  Medicare reassignment NPD Authorized official
• Jacquelyn M. Lopez, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1609259134
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1821366204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565200",
            "telephone_number": "305-256-2525",
            "fax_number": "305-252-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331565200",
            "telephone_number": "305-256-2525",
            "fax_number": "305-252-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P GEGERSON, O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "GEGERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-256-2525",
        "authorized_official_credential": "O.D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Friedman, PHD
• Beatriz Gainza Perez
• Angel Garcia, B. PH
• Veronica Garcia, BS
• Bjorn Christian Garrido
• Gary Paul Gegerson, O.D.
• Yusleidi De la Caridad Gil, MD
• Carly Girnun, PSYD
• GMC Group, PA
• Erika Gomez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.