Gulf Atlantic Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1591 Issued in NC

Legal business name

GULF ATLANTIC OPTICAL

Doing business as

H Rubin Vision Center

Practice address

520 S Main St
Hendersonville, NC 28792-5306

Phone

(828) 697-6767

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Olan Crenshaw Jr., OPTICIAN

Title

Owner

Phone

(828) 697-6767

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• H RUBIN VISION CENTER Doing business as

Locations

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1902053515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925306",
            "telephone_number": "828-697-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF ATLANTIC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "OLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-697-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "1591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802042",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H RUBIN VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianna Kaye Grigsby, RN
• Christopher Andrew Steen Grissom, PT, DPT
• Kristen Leigh Grondin
• Grove Clinic Psychological Associates PA
• Rebecca H Guggenheim
• Heidi Renee Gum, PA
• Aneeta Jain Gupta, M.D.
• Janet L. Guptill, MS, ATR-BC, LCAS
• Karthikeyan Guru
• Linda Owens Gutowski, DPT

• Eyewear Supplier in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.