Deborah M Gdovin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001392 Issued in PA

Practice address

390 Route 315 Hwy
Pittston, PA 18640-3903

Phone

(570) 883-9696

Fax

(570) 654-3739

NPI assigned

Jul 10, 2006

Last updated

Nov 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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

Pennsylvania College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Icu2Inc

  dba Clear Image Optical

  • Eyewear Supplier
  • Eynon, PA
  • NPI 1003961723
  Medicare reassignment NPD
• Suzanne Proleika, OD

  • Optometrist
  • Pittston, PA
  • NPI 1457442790
  Medicare reassignment
• Dr. Suzanne Proleika, O.D.

  • Optometrist
  • Pittston, PA
  • NPI 1902050735
  NPD (past)
• Garunga Inc

  dba crystal vision center

  • Optometrist
  • Dallas, PA
  • NPI 1558392639
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1952335580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ROUTE 315 HWY",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403903",
            "telephone_number": "570-883-9696",
            "fax_number": "570-654-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROUTE 315 HWY",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403903",
            "telephone_number": "570-883-9696",
            "fax_number": "570-654-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GDOVIN",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Fisher
• Tatiana C Franco
• Khyla Marilyn Fritz, COTA, BT
• Amy Gale, PHARM. D.
• Lynnae Galella, PA
• Geisinger Clinic (Partners in Pediatrics)
• Geisinger Clinic (Geisinger Medical Group Pittston)
• Geisinger Clinic
• Geisinger Clinic
• Geisinger Wyoming Valley Dba Medic 303

• Optometrist in Pittston, PA
• Providers in Pittston, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.