NPIMap

Organization Active NPI

Gary C Nash OD

  • Optometrist
  • Wilkesboro, NC
National Provider Identifier
1710165402
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARY C NASH OD
Practice address
505 E Main St
Wilkesboro, NC 28697-2507
Phone
(336) 838-4801
Fax
(336) 838-0938
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Gary Clayton Nash, ODNPI 1770562340
Title
Owner
Phone
(336) 838-4801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

505 E Main St
Wilkesboro, NC 28697-2507

Mailing address

505 E Main St
Wilkesboro, NC 28697-2507
Phone (336) 838-4801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1710165402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972507",
            "telephone_number": "336-838-4801",
            "fax_number": "336-838-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972507",
            "telephone_number": "336-838-4801",
            "fax_number": "336-838-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C NASH OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-838-4801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.