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Deactivated NPI 1407993330 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Tennant Gardner , OD

Optometrist • Beckley, WV

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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. Robert Gardner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date October 11, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Gardner, OD was a registered Optometrist practicing in Beckley, WV. Throughout an active medical career spanning 17 years, Dr. Gardner provided care at the practice location at 109 MAIN ST until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

109 Main St

Beckley, WV 258014610

Telephone 3042525253
Fax 3042521440

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Beckley, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.8 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Beckley, WV (286 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WV 566-D

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 109 MAIN ST, BECKLEY, WV 258014610 (Tel: 3042525253)

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Updated Business Mailing Address July 08, 2007

Registered at 109 MAIN ST, BECKLEY, WV 258014610 (Tel: 3042525253)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT GARDNER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #566-D in WV)

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Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407993330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Deactivation Date: October 11, 2024

Mailing Address

109 Main St

Beckley, WV 258014610

Phone: 3042525253

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.