Gumm's Optical Shoppe Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

D 1940 Issued in CA

Legal business name

GUMM'S OPTICAL SHOPPE INC.

Practice address

910 Main St
Suite C
Red Bluff, CA 96080-2735

Phone

(530) 527-2510

Fax

(530) 529-1150

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

John Gumm

Title

Registered Dispensing Optician

Phone

(530) 527-2510

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1164641577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MAIN ST",
            "address_2": "SUITE C",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802735",
            "telephone_number": "530-527-2510",
            "fax_number": "530-529-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MAIN ST",
            "address_2": "SUITE C",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802735",
            "telephone_number": "530-527-2510",
            "fax_number": "530-529-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUMM'S OPTICAL SHOPPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GUMM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "REGISTERED DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "530-527-2510"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D 1940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER",
            "identifier": "0757470001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Rancheria
• Greenville Rancheria (Greenville Rancheria Tribal Health)
• Gabriel Mark Groppi
• Rachel M Gross, ASW
• Anne Grossman
• Juanita Felisita Gutierrez
• H Jack Fennel O.D.
• Jebediah Morgan Hall, M.A.
• Shannon Marie Haller, PA
• Rachal Hambrock, OQP

• Eyewear Supplier in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.