Nacondus G Gamble, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2433 Issued in GA

Practice address

345 Lindquist Rd
Building 71
Fort Stewart, GA 31314-5043

Phone

(912) 876-1101

NPI assigned

Aug 8, 2006

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nacondus.gamble@uprisedirect.com
• Direct secure messaging: nacondusgamble@seeye.direct.eyemdemr.com

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.

• South Eastern Eye Center, Office of Dr Nacondus Gamble

  • Optometrist
  • NPI 1093953002

  GA

  Medicare reassignment NPD Authorized official
• J. Annette Parker-Herriott, O.D., P.C,.

  dba EnVision Eye Care - Dr. J. A. Parker & Associates

  • Optometrist
  • Savannah, GA
  • NPI 1902097066
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1861402588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LINDQUIST RD",
            "address_2": "BUILDING 71",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145043",
            "telephone_number": "912-876-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 LINDQUIST RD",
            "address_2": "BUILDING 71",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145043",
            "telephone_number": "912-876-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "NACONDUS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001839",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1474",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fry, MD
• Daiana Lynn Frym, PA
• Matthew James Fults, D.O.
• Joel Fussell
• D'Angela Galloway
• Matthew Garcia, D.M.D
• Libby Gardner
• Katie Gareau
• Kerry Garth, RN
• Raquel Vanessa Gary, LISW CP, LMSW

• Optometrist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.