GOSNELL OPTICIANS INC NPI 1073569547

NPI Information

NPI: 1073569547
Provider Name: GOSNELL OPTICIANS INC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
1946 AUGUSTA STREET
GREENVILLE, SC
ZIP 29605
Phone: (864) 233-4148
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GOSNELL OPTICIANS INC is an optician technician technologist in Greenville, SC. GOSNELL OPTICIANS INC NPI is 1073569547. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1946 AUGUSTA STREET
GREENVILLE, SC
ZIP 29605
Phone: (864) 233-4148
Fax: (864) 233-3620

The provider's authorized official is Daniel Bruce Gosnell .
The authorized official title is Owner Optician and has the following contact phone number (864) 233-4148.

The enumeration date for this NPI number is 5/26/2006 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
1	156FX1800X	Technician/Technologist	Optician			Yes

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
1	VA9997	MEDICAID	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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