Individual provider Active NPI

Robert Embury Gouinlock, O.D.

  • Optometrist
  • Batavia, NY
National Provider Identifier
1912124694
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TOO5845 Issued in NY
Practice address
216 E Main St
Batavia, NY 14020-2221
Phone
(585) 343-0633
Fax
(585) 343-0211
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TOO5845 NY Primary

Addresses

Primary practice location

216 E Main St
Batavia, NY 14020-2221

Mailing address

1119 Halls Corners Rd
Attica, NY 14011-9335
Phone (585) 591-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190808001083 NY Practitioner - Optometry 6204112295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TOO5845NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Council Opticians of Batavia Inc. Optometrist CurrentSince Aug 2, 2019 Accepting new patients

Locations

216 E Main St
Ste 1
Batavia, NY 14020
Phone (585) 343-0633

216 E Main St
Batavia, NY 14020
Phone (585) 343-0633

Organizations & group practices 1

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1912124694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 HALLS CORNERS RD",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140119335",
            "telephone_number": "585-591-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202221",
            "telephone_number": "585-343-0633",
            "fax_number": "585-343-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUINLOCK",
        "first_name": "ROBERT",
        "middle_name": "EMBURY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TOO5845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.