Jason Gebran, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002767 Issued in VA

Practice address

515 Broad St
Perryville, MD 21903-2734

Phone

(410) 642-2411

NPI assigned

Jun 27, 2019

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Male

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 VA

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

State University of New York - State College Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David a. Tufts O D PLLCGroup PAC ID 4284704826, 3 clinicians

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.

• Dr David a Tufts O D PLLC

  dba Cedar Creek EyeCare, Doctors of Optometry

  • Optometrist
  • Winchester, VA
  • NPI 1477741072
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1982265047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 HIDDENITE CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102419",
            "telephone_number": "703-401-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BROAD ST",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219032734",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Fay Di Giovanni, MSW
• Kelsey Lee Eisenhauer, MT-BC
• Eric Morse DDS, LLC
• Dianne Lynn Fox, MSW
• Gary J Galicki, DDS
• James Heinrich Goettel, M.D.
• Granting Wellness LLC
• Suzanne Greer, MSW
• Angelisa Guilford, LPC
• Joshua Harmon, DPT

• Optometrist in Perryville, MD
• Providers in Perryville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.