NPIMap

Organization Active NPI

Gainesville Vision

  • Eyewear Supplier
  • Gainesville, GA
National Provider Identifier
1457782641
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
001279 Issued in GA
Legal business name
GAINESVILLE VISION
Practice address
890 Dawsonville Hwy Ste a
Gainesville, GA 30501-2608
Phone
(770) 532-2176
Fax
(770) 532-3906
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Keith Bachmann, L.D.O.
Title
Owner
Phone
(770) 532-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 001279 GA Primary

Addresses

Primary practice location

890 Dawsonville Hwy Ste a
Gainesville, GA 30501-2608

Mailing address

890 Dawsonville Hwy Ste a
Gainesville, GA 30501
Phone (770) 532-2176

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1457782641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-532-2176",
            "fax_number": "770-532-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012608",
            "telephone_number": "770-532-2176",
            "fax_number": "770-532-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "BACHMANN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-532-2176",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.