Kenneth Charles Gatson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 1219 Issued in FL

Practice address

2303 S Bay St
Eustis, FL 32726-6360

Phone

(352) 357-1027

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drgatson@centralfloridaeyecenter.eyefinity-direct.com

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.

• Central Florida Eye Center, PA

  • Optometrist
  • Eustis, FL
  • NPI 1730117391
  Medicare reassignment NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1891710380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360",
            "telephone_number": "352-357-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266360",
            "telephone_number": "352-357-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATSON",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084826300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Galvan, MA, BCBA
• Lucia Carla Galzignato Cruz
• Kimberly Kelly Garry
• Gary K Stoltz, D.C., P.a.
• Sandra Gatrell, M.A., BCBA
• David S Geiser, PH.D.
• Laquita Gilbert
• Alexis Gillan
• Joshua Gilmore
• Mariam Girgis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.