Robert Blunt Gotschalk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1190 Issued in NC

Practice address

1225 Carthage St
Sanford, NC 27330-8984

Phone

(919) 774-3556

Fax

(919) 774-7356

NPI assigned

May 4, 2006

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgotschalk@direct.eyecare-partners.com

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

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• NC Eye Associates OD PLLC

  dba NC Eye Associates

  • Optometrist
  • Apex, NC
  • NPI 1417492554
  Medicare reassignment NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  dba Family Eye Care Optometry

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  Authorized official Same address or phone
• Eyecarecenter OD PA

  • Optometrist
  • Sanford, NC
  • NPI 1841734209
  NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Charles V. Sikes Jr

  dba Family Eye Care Optometry

  • Optometrist
  • Lillington, NC
  • NPI 1184778136
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1811945827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 BUCKINGHAM DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309372",
            "telephone_number": "919-774-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308984",
            "telephone_number": "919-774-3556",
            "fax_number": "919-774-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCHALK",
        "first_name": "ROBERT",
        "middle_name": "BLUNT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "09322",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410014666",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Gordon, MD
• Samantha Gordon, PA
• Goshen Medical Center Incorporated (Goshen Medical Center-Sanford)
• Goshen Medical Center Incorporated (GMC Pharmacy at Sanford)
• Kerstin Linnea Gothson, CRNA
• Crystal C Goudeau, , PT, DPT
• William Adam Gower, MD, MS
• Katherine Rose Grabrick, PTA
• Grace Chapel Christian Church
• Elizabeth Butler Granter, MSW, LCSW-A, LCAS-A

• Optometrist in Sanford, NC
• Providers in Sanford, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.