Active NPI
Ajay Gauba
- Optometrist
- Exton, PA
National Provider Identifier
1831537851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE00008371T
- Practice address
- 204 Exton Square Mall
Exton, PA 19341-2442 - Phone
- (610) 363-1164
- NPI assigned
- Jun 12, 2013
- Last updated
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE00008371T | PA | Primary |
| Technician/Technologist | 156F00000X | |||
| Contact Lens Technician/Technologist | 156FC0800X | |||
| Optician | 156FX1800X |
Addresses
Primary practice location
204 Exton Square Mall
Exton, PA 19341-2442
Mailing address
2530 Country Top TRL
Bethlehem, PA 18020-8838
Phone (610) 866-6682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE00008371T | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anks Vision LLC | Current | Accepting new patients | |
| A & K Vision | Current | Accepting new patients |
Organizations & group practices 2
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": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1831537851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 COUNTRY TOP TRL",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208838",
"telephone_number": "610-866-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 EXTON SQUARE MALL",
"city": "EXTON",
"state": "PA",
"postal_code": "193412442",
"telephone_number": "610-363-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUBA",
"first_name": "AJAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE00008371T",
"primary": true
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.