Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376523654 Deactivated / Inactive NPI Male Practitioner

Dr. Gary E Tatum , OD

Optometrist • Jasper, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Tatum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 20, 2006
NPI Deactivation Date April 02, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Tatum, OD was a registered Optometrist practicing in Jasper, TX. Throughout an active medical career spanning 20 years, Dr. Tatum provided care at the practice location at 922 N WHEELER ST until profile deactivation on 2026-04-02.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

922 N Wheeler St

Jasper, TX 759513129

Telephone 4093845192
Fax 4093845615

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jasper, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Jasper, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes
27 27 $95.00 $64.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
21 21 $95.00 $37.89

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 1847T

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1114066081

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

NPI Profile Active April 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2013

Registered at 922 N WHEELER ST, JASPER, TX 759513129 (Tel: 4093845192)

📍
Updated Business Mailing Address April 24, 2013

Registered at 922 N WHEELER ST, JASPER, TX 759513129 (Tel: 4093845192)

👤
Provider Name / Credentials Updated April 24, 2013

Recorded as GARY TATUM, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2013

Optometrist (License #1847T in TX)

🟢
Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gary Tatum. Be the first to share your experience!

Sign in to leave a review for Dr. Gary Tatum

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376523654
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2006
Last Update: April 24, 2013
Deactivation Date: April 02, 2026

Mailing Address

922 N Wheeler St

Jasper, TX 759513129

Phone: 4093845192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.