NPIMap

Organization Active NPI

E.a. Gus Guthrie, O.D.P.C.

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1417032525
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5216TG Issued in TX
Legal business name
E.A. GUS GUTHRIE, O.D.P.C.
Practice address
3720 N Josey LN
114
Carrollton, TX 75007-2481
Phone
(972) 395-8434
Fax
(972) 395-8433
NPI assigned
Oct 26, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Krystal Carroll
Title
Office Manager
Phone
(972) 395-8434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5216TG TX Primary

Addresses

Primary practice location

3720 N Josey LN
114
Carrollton, TX 75007-2481

Mailing address

3720 N Josey LN
114
Carrollton, TX 75007-2481
Phone (972) 395-8434

Other names 1

  • E.A. Gus Guthrie, O.D.P.C. Other name

National Provider Directory

National Provider Directory
Tax ID family
E a Gus Guthrie OD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3720 N Josey Ln
Ste 114
Carrollton, TX 75007
Phone (972) 395-8434

Practitioners & affiliated clinicians

Practitioners 5

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1417032525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 N JOSEY LN",
            "address_2": "114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072481",
            "telephone_number": "972-395-8434",
            "fax_number": "972-395-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N JOSEY LN",
            "address_2": "114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072481",
            "telephone_number": "972-395-8434",
            "fax_number": "972-395-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.A. GUS GUTHRIE, O.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-395-8434"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5216TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.A. Gus Guthrie, O.D.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.