Active NPI
Emma Tart Gomez, LICENSE OPTICIAN
- Optician
- Belmont, NC
National Provider Identifier
1962654376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1171
- Practice address
- 7005 E Wilkinson
Suite D
Belmont, NC 28012-6227 - Phone
- (704) 825-8063
- Fax
- (704) 825-8064
- NPI assigned
- Oct 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1171 | NC | Primary |
Addresses
Primary practice location
7005 E Wilkinson
Suite D
Belmont, NC 28012-6227
Mailing address
7005 E Wilkinson
Suite D
Belmont, NC 28012-6227
Phone (704) 825-8063
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 |
|---|---|---|---|
| 1171 | NC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1962654376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 E WILKINSON",
"address_2": "SUITE D",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126227",
"telephone_number": "704-825-8063",
"fax_number": "704-825-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 E WILKINSON",
"address_2": "SUITE D",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126227",
"telephone_number": "704-825-8063",
"fax_number": "704-825-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "EMMA",
"middle_name": "TART",
"name_prefix": "Mrs.",
"credential": "LICENSE OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "1171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.