NPIMap

Organization Active NPI

Gaston Eye Associates

  • Eyewear Supplier
  • Gastonia, NC
National Provider Identifier
1679615462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
38135 Issued in NC
Legal business name
GASTON EYE ASSOCIATES
Practice address
2325 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0614
Phone
(704) 853-3937
Fax
(704) 853-0840
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bob Kenneth McCullen Jr., M.D.
Title
Managing Partner
Phone
(704) 853-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 38135 NC Primary

Addresses

Primary practice location

2325 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0614

Mailing address

2325 Aberdeen Blvd
Ste a
Gastonia, NC 28054-0614
Phone (704) 853-3937

Other identifiers 1

IdentifierTypeStateIssuer
0846090001OtherNCPALMETTO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gaston Eye Associates2325 Aberdeen Blvd, Gastonia, NC 28054-0642(704) 853-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 1, 1994

National Provider Directory

National Provider Directory
Tax ID family
Gaston Eye Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2325 Aberdeen Blvd
Ste A
Gastonia, NC 28054
Phone (704) 853-3937

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679615462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 ABERDEEN BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540614",
            "telephone_number": "704-853-3937",
            "fax_number": "704-853-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 ABERDEEN BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540614",
            "telephone_number": "704-853-3937",
            "fax_number": "704-853-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCULLEN",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "704-853-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "38135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0846090001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.