Dennis Gaeta, O.D. and Assoc., PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008113 Issued in IL

Legal business name

DENNIS GAETA, O.D. AND ASSOC., PC

Practice address

17730 Oak Park Ave
B 1
Tinley Park, IL 60477-3918

Phone

(708) 614-2311

NPI assigned

May 31, 2011

Last updated

May 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Martin Gaeta, O.D.NPI 1447331004

Title

Optometrist. Owner

Phone

(708) 614-2311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Martin Gaeta, O.D.

  • Optometrist
  • Tinley Park, IL
  • NPI 1447331004
  Authorized official Same address or phone

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1962796656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 PARK CENTRAL DR N",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774581",
            "telephone_number": "708-614-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17730 OAK PARK AVE",
            "address_2": "B 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773918",
            "telephone_number": "708-614-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS GAETA, O.D. AND ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "GAETA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OPTOMETRIST. OWNER",
        "authorized_official_telephone_number": "708-614-2311",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kristine Demarco
• Katie Ann Dement, LPC
• Lucky Denenga, PT
• Beth A Denler, R.N.
• Gene Denning, DO
• Dermatology & Skin Surgery Associates, SC
• Dermatology Associates LTD
• Kristin M Derungs, PA-C
• Jonathan Dharamsy, PT, DPT
• Mazen Diab, M.D.

• Optometrist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.