Physician Compare National (NPI:1982265047)

HEALTHCARE PROVIDER: JASON GEBRAN OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982265047
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486075066
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200608000972
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEBRAN
	Individual professional last name
Provider First Name	JASON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DR. DAVID A. TUFTS, OD, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4284704826
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	650 CEDAR CREEK GRADE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 114
	Group Practice or individual's line 2 address
City	WINCHESTER
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	226016453
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5406620222
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y