Jeffery E. Gates, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

WV 909-OD Issued in WV

Legal business name

JEFFERY E. GATES, OD

Practice address

552 Emily Dr
Clarksburg, WV 26301-5508

Phone

(304) 623-2892

Fax

(304) 622-2809

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Eugene Gates, ODNPI 1598989246

Title

Owner

Phone

(304) 623-2892

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery Eugene Gates, O.D.

  • Optometrist
  • Clarksburg, WV
  • NPI 1598989246
  NPD (past) Authorized official
• Lori Michele Angotti, O.D.

  • Optometrist
  • Bridgeport, WV
  • NPI 1962520387
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932318052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015508",
            "telephone_number": "304-623-2892",
            "fax_number": "304-622-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 EMILY DR",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263015508",
            "telephone_number": "304-623-2892",
            "fax_number": "304-622-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY E. GATES, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-623-2892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "WV 909-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149812001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149812000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J. Demarco M.D.
• Heidi James
• Whitney James, RN
• Gary Wayne Jarrell Jr., MSW, LICSW
• Shelly Dee Jarvis
• Susan L Jeney, MS
• Colleen Sue Jenkins, LPN
• Myriah Ann Jenkins
• Tonya Jimmie, PHARMD
• Quinnessa Lakia Johnson-James

• Optometrist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Optometrist in West Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.