Daniel Bruce Gosnell, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

203 Issued in SC

Practice address

1946 Augusta Street
Greenville, SC 29605

Phone

(864) 233-4148

Fax

(864) 233-3620

NPI assigned

Dec 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gosnell Opticians Inc

  • Optician
  • Greenville, SC
  • NPI 1073569547
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1023292166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 AUGUSTA STREET",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-233-4148",
            "fax_number": "864-233-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 AUGUSTA STREET",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-233-4148",
            "fax_number": "864-233-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "DANIEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DV0203",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gormley, DC
• Gorrin'S Clinic, Inc.
• Gosnell Chapman Vision Center
• Gosnell Opticians Inc
• Amy Roedell Gosnell, M.C.D., CCC-SLP
• David P Gosnell, OPTICIAN
• Aimee Goss, APRN, FNP-C
• Alaina Holroyd Goss, RN
• Stacy Goss, LMT
• Matthew Ryan Gossage, M.D.

• Optician in Greenville, SC
• Providers in Greenville, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.