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GASTON EYE ASSOCIATES NPI 1679615462


NPI Information

NPI: 1679615462
Provider Name: GASTON EYE ASSOCIATES
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 34D1106164

Address:
2325 ABERDEEN BLVD
STE A
GASTONIA, NC
ZIP 28054
Phone: (704) 853-3937
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GASTON EYE ASSOCIATES is an eyewear supplier in Gastonia, NC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GASTON EYE ASSOCIATES NPI is 1679615462. The provider is registered as an organization entity type.

The provider's business location address is:

2325 ABERDEEN BLVD
STE A
GASTONIA, NC
ZIP 28054-614
Phone: (704) 853-3937
Fax: (704) 853-0840

The provider's authorized official is Bob Kenneth Mccullen .
The authorized official title is Managing Partner and has the following contact phone number (704) 853-3937.

The CLIA number assigned to this NPI record is 34D1106164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier38135NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10846090001OTHERNORTH CAROLINAPALMETTO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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