GHM Optical Shop

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

37790 Issued in FL

Legal business name

GHM OPTICAL SHOP

Doing business as

The Glasses Store

Practice address

4427 Highway 90
Pace, FL 32571-2066

Phone

(850) 994-0039

Fax

(850) 994-6100

NPI assigned

Apr 20, 2007

Last updated

May 13, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

GHM OPTICAL SHOPAs reported in NPPES

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

Authorized official

Name

Dr. George T McKnight

Title

Owner Partner

Phone

(850) 505-7788

Specialties & licenses 1

Addresses

Other names 1

• THE GLASSES STORE Doing business as

Part of

GHM Optical Shop

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1548487382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712066",
            "telephone_number": "850-994-0039",
            "fax_number": "850-994-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712066",
            "telephone_number": "850-994-0039",
            "fax_number": "850-994-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHM OPTICAL SHOP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GHM OPTICAL SHOP",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "850-505-7788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "37790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GLASSES STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gastroenterology Associates of Pensacola PA
• Amanda Elise Gates, OTR, CHT
• Candace Gavisk
• Fatma Gaydon, MSN, APRN, AGACNP-BC
• Dalton Matthew Gean, DC
• Kelsey Lee Gibson, OT/L
• Roger Alan Gilmore, MD
• Robert Gipson
• Adam Gist, DPT
• Julia M Godbehere, OTR/L

• Ophthalmology Physician in Pace, FL
• Providers in Pace, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.