Tiffany Gates, OD, FAAO, FSLS

Primary specialty

OptometristTaxonomy code 152W00000X

License

3109 Issued in CO

Practice address

16860 Sheridan Pkwy Unit 106
Broomfield, CO 80023-8989

Phone

(720) 598-2020

Fax

(720) 893-9070

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Southern College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care, PLLCGroup PAC ID 9032440169, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.gates.p5@direct.inlandeyespecialists.nextgenshare.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.

• Visionary Eye Care, PLLC

  • Optometrist
  • Broomfield, CO
  • NPI 1205482031
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1922412915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16860 SHERIDAN PKWY UNIT 106",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238989",
            "telephone_number": "720-598-2020",
            "fax_number": "720-893-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16860 SHERIDAN PKWY UNIT 106",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238989",
            "telephone_number": "720-598-2020",
            "fax_number": "720-893-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "TIFFANY",
        "credential": "OD, FAAO, FSLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Gardner-Wood
• Lauren E Gardner, MA, LPC, NCC
• Tracy Dawn Garza, LPT
• Michelle Gaskins, LPCC
• Louis A Gaston
• Pamela S Gatewood, PT
• Geiselhofer Limited
• Jennifer Lynn Geiselhofer, R.D.H
• Eada Gendelman
• Shannon Gentry, LMT, MMP

• Optometrist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.