NPIMap

Organization Active NPI

Gothenburg-Cozad Vision Clinic,P.C.

  • Eyewear Supplier
  • Gothenburg, NE
National Provider Identifier
1144530213
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
743 Issued in NE
Legal business name
GOTHENBURG-COZAD VISION CLINIC,P.C.
Practice address
916 Avenue F
Gothenburg, NE 69138-2060
Phone
(308) 537-2601
Fax
(308) 537-7211
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Dr. Larry D. Garrett, O.D.
Title
Owner/President
Phone
(308) 537-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 743 NE Primary

Addresses

Primary practice location

916 Avenue F
Gothenburg, NE 69138-2060

Mailing address

PO Box 449
Gothenburg, NE 69138-0449
Phone (308) 537-2601

National Provider Directory

National Provider Directory

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": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1144530213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691380449",
            "telephone_number": "308-537-2601",
            "fax_number": "308-537-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 AVENUE F",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691382060",
            "telephone_number": "308-537-2601",
            "fax_number": "308-537-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHENBURG-COZAD VISION CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "308-537-2601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gothenburg, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.