David L Gohman OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

01616 Issued in IA

Legal business name

DAVID L GOHMAN OD INC

Practice address

110 2ND St NW
Orange City, IA 51041

Phone

(712) 737-2126

Fax

(712) 737-3022

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

David L Gohman, OD

Title

Owner

Phone

(712) 737-2126

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1629030457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "712-737-2126",
            "fax_number": "712-737-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "712-737-2126",
            "fax_number": "712-737-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L GOHMAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "GOHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-737-2126",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151035",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Orange City, IA
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• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.