GARY LEE VAUGHN (NPI# 1023290046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023290046 |
| Entity Type | Individual |
| Full Name | GARY LEE VAUGHN |
| Credential | OPTICIAN |
| Practice Address |
622 Indian Trail Rd Indian Trail NC 28079 |
| Practice Telephone | 7048216700 |
| Practice Fax Number | 7048218534 |
| Mailing Telephone | 7048216700 |
| Mailing Fax Number | 7048218534 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
941 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8802087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285032391 | Gary Vaughn | Hearing Instrument Specialist | 2122 10th Ave S, Great Falls, MT 59405-2867 | 2014-12-05 |
| 1578583670 | Gary L Vaughn | Psychologist | 141 W 22nd St Ste 311, Anderson, IN 46016-4389 | 2006-07-20 |
| 1972546604 | Gary Jesse Vaughn | Family Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301 | 2006-06-13 |
| 1053305771 | Gary Edward Vaughn | Dermatology | 810 Hospital Dr, #240, Beaumont, TX 77701-4600 | 2005-09-08 |
| Street Address |
622 INDIAN TRAIL RD |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| 1346431517 | Mary Scott Swiggum | Physical Therapist | 1004 Rosewater Lane, Indian Trail, NC 28079 | 2007-08-05 |
| Find all providers in zip 28079 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006536 | Timothy Jerone Turner | Technician/Technologist | 5809 Hillcrest Cir, Indian Trail, NC 28079-8652 | 2019-07-28 |
| 1578667762 | Wal-mart Stores East, Lp | Technician/Technologist | 2101 Younts Rd, Indian Trail, NC 28079-8505 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027603 | Sharna Michelle Jones | Technician/Technologist | 526 Queens Creek Rd, Hubert, NC 28539-4188 | 2019-08-06 |
| 1215491782 | National Vision Inc | Technician/Technologist | 5343 South Blvd, Charlotte, NC 28217-4117 | 2019-01-29 |
| 1619431723 | L & J Boyd Enterprises, LLC | Technician/Technologist | 390 Number Nine Road, Fairview, NC 28730 | 2019-01-23 |
| 1881167807 | National Vision Inc | Technician/Technologist | 4434 Fayetteville Rd Ste 11, Raleigh, NC 27603-3612 | 2019-01-03 |
| 1750857413 | National Vision Inc | Technician/Technologist | 1602 S Stratford Rd Ste 120, Winston Salem, NC 27103-2924 | 2018-10-22 |
| 1508331448 | National Vision Inc | Technician/Technologist | 1216 Bridford Pkwy Ste Qands, Greensboro, NC 27407-2696 | 2018-10-08 |
| 1962997627 | National Vision, Inc. | Technician/Technologist | 591 River Hwy Ste P, Mooresville, NC 28117-6979 | 2018-06-26 |
| 1811498793 | National Vision, Inc. | Technician/Technologist | 2117 N Main St, High Point, NC 27262-7700 | 2018-02-26 |
| 1487165833 | Curtis Markee Threatt | Technician/Technologist | 2700 Reynolda Rd Apt 1302, Winston Salem, NC 27106-3847 | 2017-10-12 |
| 1336667153 | Vivencio Crisostomo Austero Jr. | Technician/Technologist | 3800 Pleasant Plains Rd, Matthews, NC 28104-5958 | 2017-08-31 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
Please comment or provide details below to improve the information on GARY LEE VAUGHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.