Gena Worley Deckelbaum, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1093 Issued in NH

Practice address

2 Pillsbury St Ste 100
Concord, NH 03301-3549

Phone

(603) 224-2020

NPI assigned

Jul 26, 2006

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Gena Marie Deckelbaum Former name

Medicare fee-for-service enrollment

Enrolled in NH

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Ophthalmologic Associates PAGroup PAC ID 0547250920, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gdeckelbaum@concord.intellechartdirect.net

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.

• Concord Ophthalmologic Associates PA

  dba The Eye Center of Concord

  • Ophthalmology Physician
  • Concord, NH
  • NPI 1831183268

  Optometrist

  Medicare reassignment Care Compare group NPD
• Concord Ophthalmologic Associates PA

  • Ophthalmology Physician
  • Concord, NH
  • NPI 1659775575
  NPD
• Dinapoli & Dinapoli, Inc.

  • Eyewear Supplier
  • Delmar, NY
  • NPI 1265509442
  NPD (past)
• Doc Vision Eye Care Centers, LLC

  • Point of Service
  • Fort Lauderdale, FL
  • NPI 1790105963
  NPD (past)
• South Shore Opticians Lauderhill Inc.

  • Eyewear Supplier
  • Lauderhill, FL
  • NPI 1598232225
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1982628897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST STE 100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013549",
            "telephone_number": "603-224-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST STE 100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013549",
            "telephone_number": "603-224-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19421 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333321653",
            "country_code": "US",
            "telephone_number": "954-621-1321",
            "fax_number": "954-213-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKELBAUM",
        "first_name": "GENA",
        "middle_name": "WORLEY",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENA",
            "last_name": "DECKELBAUM",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia M. De Steuben, CNM
• Gared Deady, LCMHC
• Mary R Deal, M.D.
• Deb Horton Counseling LLC
• Dianne Decarolis, MA
• Scott Howard Deckelbaum, DO
• Celeste Decker
• Jennifer Decoff, APRN
• Degange Chiropractic (Balance Chiropractic)
• Degange Chiropractic (Balance Chiropractic)

• Optometrist in Concord, NH
• Providers in Concord, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.