GAINESVILLE VISION (NPI# 1457782641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457782641 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE VISION |
| Other Organization Name | PEARLE VISION |
| Practice Address |
890 Dawsonville Hwy Ste A Gainesville GA 30501-2608 |
| Mailing Address |
890 Dawsonville Hwy Ste A Gainesville GA 30501 |
| Practice Telephone | 7705322176 |
| Practice Fax Number | 7705323906 |
| Mailing Telephone | 7705322176 |
| Mailing Fax Number | 7705323906 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | KEITH BACHMANN (OWNER) |
| Authorized Official Telephone | 7705322176 |
| Authorized Official Credential | L.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 001279 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GAINESVILLE VISION CLINIC | 1201 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 |
| Street Address |
890 DAWSONVILLE HWY STE A |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649553009 | Truc Minh Pham | Optometrist | 890 Dawsonville Hwy Ste A, Gainesville, GA 30501-2608 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639627474 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14046 Promenade Commons St, D-3, Gainesville, VA 20155-4072 | 2016-09-21 |
| 1518351121 | Mark Lynn Od & Associates, PC | Eyewear Supplier (Equipment, not the service) | 671 Dawsonville Highway, Gainesville, GA 30501-2611 | 2015-03-20 |
| 1659647329 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 5100 Wellington Rd, Gainesville, VA 20155-4069 | 2012-03-28 |
| 1568602258 | Optical Laboratory, LLC | Eyewear Supplier (Equipment, not the service) | 618 Sw 4th Ave, Gainesville, FL 32601-6429 | 2009-02-20 |
| 1760636187 | Alligator Island Optical | Eyewear Supplier (Equipment, not the service) | 2725 Sw 91st St, Suite 160, Gainesville, FL 32608-2781 | 2008-11-12 |
| 1184825853 | Gainesville Opticians II, LLC | Eyewear Supplier (Equipment, not the service) | 2015 Nw 43rd St, Gainesville, FL 32605-3481 | 2007-05-30 |
| 1225153455 | Four H Optical | Eyewear Supplier (Equipment, not the service) | 4605 Nw 6th St, Suite 2c, Gainesville, FL 32609-4197 | 2007-03-20 |
| 1891840443 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 150 Pearl Nix Pkwy # D3a, Gainesville, GA 30501 | 2007-01-24 |
| 1528124963 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6201 Newberry Rd, Oak Mall, Gainesville, FL 32605-4305 | 2006-12-29 |
| 1649334731 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6405 Newberry Rd, Oaks Mall, Gainesville, FL 32605-4338 | 2006-12-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on GAINESVILLE VISION.
| 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.