NPIMap

Organization Active NPI

Dr Gary Klink Optometrist PC

  • Optometrist
  • Rocky Mount, VA
National Provider Identifier
1215979935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000323 Issued in VA
Legal business name
DR GARY KLINK OPTOMETRIST PC
Practice address
550 Old Franklin Turnpike
Rocky Mount, VA 24151-5504
Phone
(540) 484-1164
Fax
(540) 484-1164
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary L Klink, ODNPI 1629175161
Title
President Doctor of Optometry
Phone
(540) 989-1389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000323 VA Primary

Addresses

Primary practice location

550 Old Franklin Turnpike
Rocky Mount, VA 24151-5504

Mailing address

5612 Brahma Rd
Roanoke, VA 24018
Phone (540) 989-1389

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215979935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 BRAHMA RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-989-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OLD FRANKLIN TURNPIKE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241515504",
            "telephone_number": "540-484-1164",
            "fax_number": "540-484-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY KLINK OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "540-989-1389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.