Active NPI
GHM Optical Shop
- Ophthalmology Physician
- Gulf Breeze, FL
National Provider Identifier
1679790315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 05923
- 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 SHOP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
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.