Active NPI
Darla K Latham, O.D.
- Optometrist
- Winston Salem, NC
National Provider Identifier
1861569113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1353
- Practice address
- 1010 S Stratford Rd
Winston Salem, NC 27103-3206 - Phone
- (336) 768-9262
- Fax
- (336) 768-4481
- NPI assigned
- Nov 30, 2006
- Last updated
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-659 TA-352 | AL | |
| Optometrist | 152W00000X | 1353 | NC | Primary |
Addresses
Primary practice location
1010 S Stratford Rd
Winston Salem, NC 27103-3206
Mailing address
1010 S Stratford Rd
Winston Salem, NC 27103-3206
Phone (336) 768-9262
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1353 | NC | MD | Marriage & Family Therapist |
| S-659 TA-352 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Gough & Latham | Past | Accepting new patients | |
| Pearle Vision Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Winston Salem, NC
- NPI 1033368220
-
- Eyewear Supplier
- Winston Salem, NC
- NPI 1669543948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1861569113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S STRATFORD RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033206",
"telephone_number": "336-768-9262",
"fax_number": "336-768-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S STRATFORD RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033206",
"telephone_number": "336-768-9262",
"fax_number": "336-768-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "DARLA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-659 TA-352",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.