Active NPI
Gold Optical Enterprise Inc
- Optician
- Fayetteville, NC
National Provider Identifier
1184773608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 454
- Legal business name
- GOLD OPTICAL ENTERPRISE INC
- Practice address
- 1635 Owen Dr
Fayetteville, NC 28304-3425 - Phone
- (910) 483-0548
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lawrence R Bullock
- Title
- Optician
- Phone
- (910) 483-0548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 454 | NC | Primary |
Addresses
Primary practice location
1635 Owen Dr
Fayetteville, NC 28304-3425
Mailing address
1635 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 483-0548
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1184773608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-483-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-483-0548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD OPTICAL ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OPTICIAN",
"authorized_official_telephone_number": "910-483-0548",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.