Active NPI
Gateway Optometric Center
- Optometrist
- Merced, CA
National Provider Identifier
1902901564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10678T
- Legal business name
- GATEWAY OPTOMETRIC CENTER
- Practice address
- 3371 G St
Ste. a
Merced, CA 95340-0964 - Phone
- (209) 723-3103
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odette Yang, O.D.
- Title
- Partner
- Phone
- (209) 723-3103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10678T | CA | Primary |
Addresses
Primary practice location
3371 G St
Ste. a
Merced, CA 95340-0964
Mailing address
3371 G St
Ste. a
Merced, CA 95340-0964
Phone (209) 723-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Optometric Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Merced, CA
- NPI 1104921774
Locations
3371 G St
Ste A
Merced, CA 95340
Phone (209) 723-3103
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Merced, CA
- NPI 1922103001
-
- Optometrist
- Merced, CA
- NPI 1871698449
-
- Optometrist
- San Diego, CA
- NPI 1487610432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902901564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3371 G ST",
"address_2": "STE. A",
"city": "MERCED",
"state": "CA",
"postal_code": "953400964",
"telephone_number": "209-723-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 G ST",
"address_2": "STE. A",
"city": "MERCED",
"state": "CA",
"postal_code": "953400964",
"telephone_number": "209-723-3103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWAY OPTOMETRIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YANG",
"authorized_official_first_name": "ODETTE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "209-723-3103",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "10678T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.