Carol Ann Ebert-Gorb, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2173 Issued in FL

Legal business name

CAROL ANN EBERT-GORB, O.D.

Practice address

1500 Apalachee Pkwy
Tallahassee, FL 32301-3055

Phone

(850) 656-8980

Fax

(580) 656-8980

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Ann Ebert-Gorb, O.D.NPI 1578538096

Title

Optometrist

Phone

(850) 668-3693

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Carol Ann Ebert-Gorb, O.D.

  • Optometrist
  • Tallahassee, FL
  • NPI 1578538096
  NPD (past) Authorized official
• Jorge Konstantin Gorb, O.D.

  • Optometrist
  • Tallahassee, FL
  • NPI 1295700714
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1033509781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 ARDEN FOREST WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092958",
            "telephone_number": "850-668-3693",
            "fax_number": "850-668-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 APALACHEE PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013055",
            "telephone_number": "850-656-8980",
            "fax_number": "580-656-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL ANN EBERT-GORB, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "EBERT-GORB",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "850-668-3693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Shaw Carlson, M.D.
• Frances A. Carney, ARNP/CNM
• Cory Carnley
• Myncie Kate Carnley
• Noah Charles Caroddo
• Caroline's Speech Retreat LLC
• Francisco Carpio, M.D.,
• Nutoshia Carr, M.S.
• Stephen L Carr, MD
• Tatum Carr

• Optometrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.