NPIMap

Organization Active NPI

DRS Gough & Latham

  • Eyewear Supplier
  • Winston Salem, NC
National Provider Identifier
1033368220
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
NC1353 Issued in NC
Legal business name
DRS GOUGH & LATHAM
Practice address
1010 S Stratford Rd
Winston Salem, NC 27103-3206
Phone
(336) 768-9262
Fax
(336) 768-4481
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Dr. Darla Latham, O.D.NPI 1861569113
Title
Partner
Phone
(336) 768-9262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NC1353 NC Primary

Addresses

Primary practice location

1010 S Stratford Rd
Winston Salem, NC 27103-3206

Mailing address

1010 S Stratford Rd
Winston Salem, NC 27103-3206
Phone (336) 768-9262

National Provider Directory

National Provider Directory

Locations

1010 S Stratford Rd
Winston Salem, NC 27103
Phone (336) 768-9262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1033368220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033206",
            "telephone_number": "336-768-9262",
            "fax_number": "336-768-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S STRATFORD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033206",
            "telephone_number": "336-768-9262",
            "fax_number": "336-768-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GOUGH & LATHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-768-9262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "NC1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.