GARY E. OLIVER (NPI# 1720170251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720170251 |
| Entity Type | Individual |
| Full Name | GARY E. OLIVER |
| Credential | O.D. |
| Practice Address |
4590 Edgmont Ave Brookhaven PA 19015-1728 |
| Practice Telephone | 6108726077 |
| Practice Fax Number | 6108722845 |
| Mailing Telephone | 6108726077 |
| Mailing Fax Number | 6108722845 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TUV005129 | NY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OEG001880 | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962944579 | Gary J. Oliver | Psychologist | 2000 W University St, Siloam Springs, AR 72761-2112 | 2016-11-14 |
| 1073599411 | Gary W Oliver | Dermatology | 1800 Sullivan Ave, Suite 403, Daly City, CA 94015-2228 | 2005-12-19 |
| Street Address |
4590 EDGMONT AVE |
| City | BROOKHAVEN |
| State | PA |
| Zip Code | 19015-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463535 | Craig A Cassey | Optometrist | 4590 Edgmont Ave, Brookhaven, PA 19015-1728 | 2005-10-31 |
| 1821035759 | Casseys Optical, Inc | Durable Medical Equipment & Medical Supplies | 4590 Edgmont Ave, Brookhaven, PA 19015-1728 | 2006-05-31 |
| 1598712127 | Craig A. Cassey O D P C | Optometrist | 4590 Edgmont Ave, Brookhaven, PA 19015-1728 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1932650926 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 4930 Edgemont Ave, Brookhaven, PA 19015 | 2016-10-14 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1790959633 | Darlene M Longstreth | Massage Therapist | 3766 Susan Lane, Kinderssage, Brookhaven, PA 19015 | 2008-04-22 |
| 1538205463 | Scott Thomas Steltz | Pharmacist | 601 Upland Ave Suite 112, Steltec Pharmacy - Crozier Mills Enterprise Center, Upland, PA 19015 | 2007-01-29 |
| 1083769327 | Parkside Fire Company | Ambulance | 107 West Roland, Parkside, PA 19015 | 2007-01-25 |
| 1295894699 | Elizabeth Katherine Deegan | Counselor | 4928 Shepard St., Brookhaven, PA 19015 | 2006-12-08 |
| 1013093244 | Jeffrey Keith Rosen | Family Medicine | 100 East Brookhaven Rd, Brookhaven, PA 19015 | 2006-10-31 |
| 1013015726 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3298 Edgemont Ave, Brookhaven, PA 19015 | 2006-09-20 |
| 1285743187 | Micheal A Erbicella | Dentist | 3213 Edgmont Ave, Brookhaven, PA 19015 | 2006-08-30 |
| Find all providers in zip 19015 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215441357 | Envision Optics LLC | Optometrist | 3360 Buford Hwy Ne, Brookhaven, GA 30329-1710 | 2017-11-28 |
| 1962955153 | Brookleigh Family Eyecare, Inc | Optometrist | 3575 Durden Dr Ne, Suite 303, Brookhaven, GA 30319-2253 | 2016-07-25 |
| 1871971861 | Eyedeal Vision Group LLC | Optometrist | 1922 Johnson Ferry Rd Ne, Unit E, Brookhaven, GA 30319-5003 | 2015-05-11 |
| 1801122114 | Oladipo O Itabiyi | Optometrist | 1234 Harshaw Rd, Brookhaven, PA 19015-1908 | 2009-10-20 |
| 1699921023 | Tressie Hall | Optometrist | 301 Highway 51 S, Suite B, Brookhaven, MS 39601-3247 | 2008-08-18 |
| 1174714133 | Chad P Smith | Optometrist | 211 N Whitworth Ave, Brookhaven, MS 39601-3051 | 2007-08-06 |
| 1033243902 | Alan Hymowitz | Optometrist | 1418 Dresden Dr Ne Ste 150, Brookhaven, GA 30319-7002 | 2007-03-15 |
| 1720141757 | Gayle Kornman | Optometrist | 1418 Dresden Dr Ne, Brookhaven, GA 30319-3598 | 2006-12-19 |
| 1952497679 | Mark P Smith | Optometrist | 211 North Whitworth Ave, Brookhaven, MS 39601 | 2006-10-04 |
| 1861507873 | Hanh M. Nguyen O.d., P.C. | Optometrist | 1200 Lake Hearn Dr Ne Ste 150, Brookhaven, GA 30319-1445 | 2006-08-20 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 19015 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.