Active NPI
Jaime Gunning, COVT
- Vision Therapy Optometrist
- Manchester, NH
National Provider Identifier
1316577794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- C-101201
- Practice address
- 2075 S Willow St
Manchester, NH 03103-2305 - Phone
- (603) 627-7305
- Fax
- (603) 657-9085
- NPI assigned
- Jan 24, 2020
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | C-101201 | OH | Primary |
Addresses
Primary practice location
2075 S Willow St
Manchester, NH 03103-2305
Mailing address
2075 S Willow St
Manchester, NH 03103-2305
Phone (603) 644-6100
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 |
|---|---|---|---|
| C-101201 | OH | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1316577794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032305",
"telephone_number": "603-644-6100",
"fax_number": "603-657-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032305",
"telephone_number": "603-627-7305",
"fax_number": "603-657-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNING",
"first_name": "JAIME",
"credential": "COVT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "OH",
"license": "C-101201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.