Individual provider Active NPI

Samuel Edward Navon

  • Ophthalmology Physician
  • Gillette, WY
National Provider Identifier
1962451336
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17263A Issued in WY
Practice address
469 Highway 50
Gillette, WY 82718-9330
Phone
(307) 387-9850
Fax
(307) 387-9890
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200000285 NC
Ophthalmology Physician 207W00000X 21706 SC
Ophthalmology Physician 207W00000X 17263A WY Primary

Addresses

Primary practice location

469 Highway 50
Gillette, WY 82718-9330

Mailing address

201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Phone (307) 387-9850

Other identifiers 1

IdentifierTypeStateIssuer
8912571MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001980 WY Practitioner - Ophthalmology 4183753510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoskinson Health and Wellness Clinic LLCGroup PAC ID 1153706346, 54 clinicians

Practice addresses (Care Compare)

469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200000285NCMDOphthalmology Physician
21706SCMDOphthalmology Physician
17263AWYMDOphthalmology Physician
00285NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC Current Accepting new patients
NPI 1558040766 CurrentSince Nov 1, 2024 Accepting new patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
Carolina Ophthalmology PA Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients
Specialty Eye Care of the Carolinas, PC Ophthalmology Past Accepting new patients
Carolina Ophthalmology, PA Ophthalmology Past Accepting new patients
Specialty Eye Care of the Carolinas, PC Ophthalmology PastSince Apr 1, 2004 Accepting new patients

Locations

1701 Old Village Rd
Hendersonvlle, NC 28791
Phone (828) 693-1773

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850

906 W 6th St
Ste C
Gillette, WY 82716
Phone (307) 687-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samuel.navon.1@26742.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1962451336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 1004",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186349",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HIGHWAY 50",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827189330",
            "telephone_number": "307-387-9850",
            "fax_number": "307-387-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVON",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200000285",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "21706",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WY",
            "license": "17263A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.