MEDICARE: DR. BENJAMIN PAUL GAMSS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV003548-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	VUT003548	OTHER	NY	HIP
2	000182604	OTHER	NY	AMERICHOICE
3	812385	OTHER	NY	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	283060101	OTHER	NY	HEALTH PLUS
6	2C5969	OTHER	NY	GUARDIAN HEALTH NET
7	0091361	OTHER	NY	GHI
8	906544	OTHER	NY	BLOCK VISION
9	P857739	OTHER	NY	OXFORD HEALTH PLANS

General Provider Information

NPI Number	:	1205886314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN PAUL GAMSS O.D.

Provider Business Mailing Address
First Line	:	1421 E 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1904
Country	:	US
Telephone Number	:	718-692-1980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/10/2010

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