Active NPI
Joni Lynn Gantt, O.D.
- Optometrist
- Chelsea, AL
National Provider Identifier
1124101811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-B07-TA-703
- Practice address
- 16077 Highway 280
Chelsea, AL 35043-8410 - Phone
- (205) 678-0090
- Fax
- (205) 678-0705
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 004099 | FL | |
| Optometrist | 152W00000X | S-B07-TA-703 | AL | Primary |
Addresses
Primary practice location
16077 Highway 280
Chelsea, AL 35043-8410
Mailing address
16077 Highway 280
Chelsea, AL 35043-8410
Phone (205) 678-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-B07-TA-703 | AL | MD | Optometrist |
| OPC 004099 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1124101811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16077 HIGHWAY 280",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350438410",
"telephone_number": "205-678-0090",
"fax_number": "205-678-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16077 HIGHWAY 280",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350438410",
"telephone_number": "205-678-0090",
"fax_number": "205-678-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "JONI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 004099",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-B07-TA-703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.