Jason Gebran, OD
Individual provider Active NPI Optometrist · Perryville, MD
NPI 1982265047 · NPPES record last updated Jun 2, 2020
Key facts
- NPI
- 1982265047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618002767 (VA)
- Practice address
- 515 Broad St
Perryville, MD 21903-2734 - Phone
- (410) 642-2411
- NPI assigned
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
650 Cedar Creek Grade
Suite 114
Winchester, VA 22601-6453
Phone (540) 662-0222
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608000972 | VA | Practitioner - Optometry | 4486075066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr David a Tufts O D PLLC | Optometrist | Current |
Accepting new patients |
Locations
650 Cedar Creek Grade
Ste 114
Winchester, VA 22601
Phone (540) 662-0222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002767 | VA | Yes |
Addresses
Primary practice location
515 Broad St
Perryville, MD 21903-2734
Mailing address
6621 Hiddenite CT
Alexandria, VA 22310-2419
Phone (703) 401-9971
Other providers in Perryville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.