Organization Active NPI

Barry M Gaffney OD PA

  • Optometrist
  • Plant City, FL
National Provider Identifier
1962568451
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BARRY M GAFFNEY OD PA
Practice address
2002 S Alexander Street
Plant City, FL 33563-8410
Phone
(813) 856-2020
Fax
(813) 754-5464
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Barry M Gaffney, OD, PANPI 1033102512
Title
Owner
Phone
(813) 856-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1410 FL
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2002 S Alexander Street
Plant City, FL 33563-8410

Mailing address

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122

Other practice location 1

403 Vonderburg Dr
Brandon, FL 33511-5982
Phone (813) 681-1122

Other identifiers 1

IdentifierTypeStateIssuer
006577700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgaffney@floridaeye.intellechartdirect.net Gregory L Henderson MD FACS INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070123000461 FL Part B Supplier - Clinic/Group Practice 2264433937 Receives reassigned benefits from 4 practitioners
Practice locations: Brandon, FL; Plant City, FL; Riverview, FL; Ruskin, FL; Sun City Center, FL; Tampa, FL
O20100930012068 FL DME Supplier - Physician - Optometrist 2264433937 Practice locations: Plant City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2016155Barry M Gaffney OD PA2002 S Alexander St, Plant City, FL 33563Certificate of waiverJan 24, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Barry M Gaffney OD PA2002 S Alexander St, Plant City, FL 33563-8410(813) 754-3593 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 21, 2006

National Provider Directory

National Provider Directory

Locations

2002 S Alexander St
Fl Eye
Plant City, FL 33563
Phone (813) 754-3593

Interoperability endpoints

  • Direct secure messaging: bgaffney@floridaeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1962568451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115982",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S ALEXANDER STREET",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335638410",
            "telephone_number": "813-856-2020",
            "fax_number": "813-754-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Vonderburg Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115982",
            "country_code": "US",
            "telephone_number": "813-681-1122",
            "fax_number": "813-684-4924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARRY M GAFFNEY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "GAFFNEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-856-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1410",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006577700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgaffney@floridaeye.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Gregory L Henderson MD FACS INC",
            "address_1": "403 Vonderburg Dr",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.