Individual provider Active NPI

Emma Gohmann, O.D.

  • Optometrist
  • Portsmouth, OH
National Provider Identifier
1750163390
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007225 Issued in OH
Practice address
721 7TH St
Portsmouth, OH 45662-4018
Phone
(740) 353-2191
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007225 OH Primary
Optometrist 152W00000X 2459 SC

Addresses

Primary practice location

721 7TH St
Portsmouth, OH 45662-4018

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231116002130 OH Practitioner - Optometry 5991152605 Reassigns benefits to 1 organization
I20240403000229 SC Practitioner - Optometry 5991152605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone (803) 327-2001

1774 Paxville Hwy
Manning, SC 29102-5071
Phone (803) 435-2494

204 Midtown Dr
Beaufort, SC 29906-5203
Phone (843) 521-4037

709 Long Point Rd
Suite C
Mt Pleasant, SC 29464-8287
Phone (843) 849-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2459SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Babcock Eye Care LLC Optometrist CurrentSince Nov 5, 2023 Accepting new patients

Locations

721 7th St
Portsmouth, OH 45662
Phone (614) 353-2191

204 Midtown Dr
Beaufort, SC 29906
Phone (843) 521-0138

88 Folly Road Blvd
Charleston, SC 29407
Phone (843) 573-9944

1774 Paxville Hwy
Manning, SC 29102
Phone (803) 435-2494

709 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 259-2002

7643 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 797-0731

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1750163390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 7TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624018",
            "telephone_number": "740-353-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHMANN",
        "first_name": "EMMA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007225",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.