Organization Active NPI

GHM Optical Shop

  • Ophthalmology Physician
  • Gulf Breeze, FL
National Provider Identifier
1679790315
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
05923 Issued in FL
Legal business name
GHM OPTICAL SHOP
Doing business as
THE GLASSES STORE
Practice address
3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407
Phone
(850) 934-3876
NPI assigned
Apr 20, 2007
Organization subpart
Yes
Parent organization
GHM OPTICAL SHOPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. George T McKnight, MD
Title
Owner Partner
Phone
(850) 505-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 05923 FL Primary

Addresses

Primary practice location

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407

Mailing address

6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (850) 505-7788

Other names 1

  • THE GLASSES STORE Doing business as

National Provider Directory

National Provider Directory
Part of
GHM Optical Shop

Locations

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 476-9236

NPI Registry JSON

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": "1679790315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-505-7788",
            "fax_number": "850-471-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633407",
            "telephone_number": "850-934-3876"
        }
    ],
    "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.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "05923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GLASSES STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • 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.