Chad Eric Gosnell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4003 Issued in WA

Practice address

4500 Stuart Street
Moncrief Army Community Hospital/Credentials
Fort Jackson, SC 29207-5720

Phone

(803) 751-2618

Fax

(803) 751-2689

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639270630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 STUART ST; MONCRIEF ARMY COMMUNITY HOSPITAL",
            "address_2": "ATTN: MCXL-PQ (CREDENTIALS)",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075720",
            "telephone_number": "803-751-2618",
            "fax_number": "803-751-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 STUART STREET",
            "address_2": "MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS",
            "city": "FORT JACKSON",
            "state": "SC",
            "postal_code": "292075720",
            "telephone_number": "803-751-2618",
            "fax_number": "803-751-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "CHAD",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Dukes, PHARMD
• Quinalin Carin Easley, PA-C
• Mohamad El Samad, DMD
• Drew D Farmer, DMD
• Orin Carleton Gilbert, PA-C
• Renita Constance Graham, RD
• Henry Anthony Greene, DDS
• Stephanie Hadden, RDH
• Pennye Murean Hamilton, RPH.
• Jeffrey Alan Hodd, D.D.S.

• Optometrist in Fort Jackson, SC
• Providers in Fort Jackson, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.