Individual provider Active NPI

Grant Gossard Franklin Gossard, OD

  • Optometrist
  • Westerville, OH
National Provider Identifier
1831936673
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007320 Issued in OH
Practice address
5606 Jeffries CT
Westerville, OH 43082-8013
Phone
(614) 648-1487
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007320 OH Primary

Addresses

Primary practice location

5606 Jeffries CT
Westerville, OH 43082-8013

Mailing address

5606 Jeffries CT
Westerville, OH 43082-8013
Phone (614) 648-1487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241022003282 OH Practitioner - Optometry 5395277867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Reynoldsburg Vision Associates IncGroup PAC ID 3375577711, 3 clinicians

Practice addresses (Care Compare)

7721 E Main St
Reynoldsburg, OH 43068-1211
Phone (614) 861-0950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007320OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reynoldsburg Vision Associates Inc Optometrist CurrentSince Sep 11, 2024 Accepting new patients

Locations

7721 E Main St
Reynoldsburg, OH 43068
Phone (614) 861-0950

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1831936673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 JEFFRIES CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828013",
            "telephone_number": "614-648-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 JEFFRIES CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828013",
            "telephone_number": "614-648-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSARD",
        "first_name": "GRANT GOSSARD",
        "middle_name": "FRANKLIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.