Garrett Optometric Center PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GARRETT OPTOMETRIC CENTER PA

Practice address

1000 N Madison Blvd
Roxboro, NC 27573-4527

Phone

(336) 597-2020

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Stephen David Garrett

Title

President

Phone

(336) 597-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1669667507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734527",
            "telephone_number": "336-597-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT OPTOMETRIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-597-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.