Active NPI
Rex Karl Gross, O.D.
- Optometrist
- Dalton, GA
National Provider Identifier
1760608905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1838
- Practice address
- 2150 E Walnut Ave
Ste. 10&11
Dalton, GA 30721-4500 - Phone
- (706) 226-2722
- Fax
- (706) 275-6114
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1838 | GA | Primary |
Addresses
Primary practice location
2150 E Walnut Ave
Ste. 10&11
Dalton, GA 30721-4500
Mailing address
901 Park Canyon Dr
Dalton, GA 30720-4344
Phone (706) 281-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1838 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1760608905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PARK CANYON DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307204344",
"telephone_number": "706-281-4445",
"fax_number": "706-275-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 E WALNUT AVE",
"address_2": "STE. 10&11",
"city": "DALTON",
"state": "GA",
"postal_code": "307214500",
"telephone_number": "706-226-2722",
"fax_number": "706-275-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "REX",
"middle_name": "KARL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.