John L Gosnell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2217 Issued in OK

Practice address

247 E 141St St.
Glenpool, OK 74033

Phone

(918) 291-1222

Fax

(918) 291-1114

NPI assigned

Oct 20, 2006

Last updated

Apr 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OK

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Glenpool Eye Care, PLLC

  • Optometrist
  • Glenpool, OK
  • NPI 1366505448
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1912089764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E. 141ST ST",
            "address_2": "PO BOX 116",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-291-1222",
            "fax_number": "918-291-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E 141ST ST.",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "74033",
            "telephone_number": "918-291-1222",
            "fax_number": "918-291-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenpool Health Services LLC
• Glenpool Operations LLC (Glennwood Healthcare)
• Glenpool Pain Management LLC (Glenpool Pain Management)
• Glenpool Pharmacy Inc (Medicap Pharmacy)
• Glenpool Public Schools
• Emily Sue Gottlob, MS., CCC-SLP
• Green Country Emdr Therapy PLLC
• Bryan L Green, DPH
• Heather Dawn Greninger, APRN, CPNP-PC
• Colby Greuel

• Optometrist in Glenpool, OK
• Providers in Glenpool, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.