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DR. MARC JAY GANNON O.D.
NPI 1841286424
Optometrist - Low Vision Rehabilitation in Ft Lauderdale, FL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
2021 E COMMERCIAL BLVD, SUITE #301, FT LAUDERDALE, FL 33308(954) 776-5223(954) 491-0027 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marc Jay Gannon O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC JAY GANNON O.D. (NPI 1841286424) is an individual low vision rehabilitation provider in Ft Lauderdale, Florida, licensed in Florida (OPC001271) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1976).

NPPES Registry Identity

NPI1841286424
Entity TypeIndividualMale
Primary Taxonomy152WL0500X
Provider Legal NameDR. MARC JAY GANNONCredential: O.D.
Location Address2021 E COMMERCIAL BLVD, SUITE #301Ft Lauderdale, FL 33308-3763
Mailing Address2021 E Commercial Blvd, Suite #301Ft Lauderdale, FL 33308-3763 · (954) 776-5223 · Fax (954) 491-0027
Phone(954) 776-5223
Fax(954) 491-0027
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1976
Enumeration DateSeptember 20, 2005
Last NPPES UpdateNovember 27, 2007
✔ NPI 1841286424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License✔ Licensed in FL · OPC001271
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
2021 E COMMERCIAL BLVD, Ft Lauderdale, FL 33308
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT84099FL
Medicare ID-Type Unspecified19374BFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc Jay Gannon O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103897327
PECOS Enrollment IDI20040803000103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Marc Gannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marc Jay Gannon Optometrist PA
Same address
Low Vision Rehabilitation
2021 E COMMERCIAL BLVD, 301
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
NPI 1194974782 (954) 776-5223
A James Segal MD PA Medeyeassociates
35 mi
Ophthalmology
5858 SW 68TH ST
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1710907522 (305) 661-8588

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
205 services202 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
192 services189 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
137 services135 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
134 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services109 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARC JAY GANNON OPTOMETRIST PA
Optometrist (Low Vision Rehabilitation)
2021 E COMMERCIAL BLVD, 301
FORT LAUDERDALE, FL 33308
Broward County (954) 776-5223
UNITED SERVICES OF SOUTH FLORIDA
Family Medicine (Adult Medicine)
2021 E COMMERCIAL BLVD, SUITE 308
FT LAUDERDALE, FL 33308
Broward County (954) 202-6599
RICHARD N KISHNER MD
Psychiatry & Neurology (Neurology)
2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308
Broward County (954) 928-0611
CORAL RIDGE GASTROENTEROLOGY ASSOCIATES LLC
Internal Medicine (Gastroenterology)
2021 E COMMERCIAL BLVD, SUITE 202
FT LAUDERDALE, FL 33308
Broward County (954) 202-7850
DAVID MISHKIN D.O. P.A.
Family Medicine
2021 E COMMERCIAL BLVD, SUITE 301
FORT LAUDERDALE, FL 33308
Broward County (954) 202-7899
DR. YASMEEN RAHMAN KHAN M.D
Allergy & Immunology
2021 E COMMERCIAL BLVD, SUITE 302
FORT LAUDERDALE, FL 33308
Broward County (954) 492-5525
KISHNER & CALISE P A
Neurological Surgery
2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308
Broward County (954) 928-0611
YOLANDA CINTRON D.M.D.
Dentist (General Practice)
2021 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33308
Broward County (954) 938-4599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Gannon's NPI number?

The NPI number for Marc Gannon is 1841286424. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Marc Gannon located?

Marc Gannon practices at 2021 E Commercial Blvd Suite #301, Ft Lauderdale, FL 33308. The listed phone number is (954) 776-5223.

What is Marc Gannon's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Marc Gannon enrolled in Medicare?

Yes. Marc Gannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marc Gannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Gannon reassigns Medicare benefits to 2 organizations: Marc Jay Gannon Optometrist PA (Fort Lauderdale, FL) and A James Segal MD PA Medeyeassociates (South Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Gannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Gannon was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.