DR. GARY LOCKE SMITH (NPI# 1720128572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720128572 |
| Entity Type | Individual |
| Full Name | DR. GARY LOCKE SMITH |
| Credential | O.D. |
| Practice Address |
1013 N 5th Ave Ne Suite 4 Rome GA 30165-2664 |
| Mailing Address |
1013 N 5th Ave Ne Rome GA 30165-2664 |
| Practice Telephone | 7062326767 |
| Practice Fax Number | 7062914677 |
| Mailing Telephone | 7062326767 |
| Mailing Fax Number | 7062914677 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 000687 | GA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
000687 | GA | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
000687 | GA | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
000687 | GA | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
000687 | GA | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
000687 | GA | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
000687 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA | MSO126272 | 01 |
| GA | STATE LICENSE | GA000687 | 01 |
| GA | FEDERAL ID | 581444484 | 01 |
| GA | 000004727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
| 1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1578887873 | Gary Lamont Smith | Counselor | 1801 N Tryon St Ste 111, Charlotte, NC 28206-2704 | 2010-03-16 |
| 1558505610 | Gary Dean Smith | Chiropractor | 1778 Watson St N, Enumclaw, WA 98022-3447 | 2009-04-20 |
| 1972781466 | Gary Bruce Smith | Counselor | 1218 West Broadway Avenue, Sulphur, OK 73086-4416 | 2008-02-06 |
| 1639369465 | Gary E.m. Smith | Optometrist | 511 E. Kern Ave., Tulare, CA 93274-4210 | 2007-07-27 |
| 1639372162 | Gary R Smith | Chiropractor | 74-967 Hwy 111, Indian Wells Chiropractic Clinic, Indian Wells, CA 92210 | 2007-06-11 |
| 1578614426 | Gary L. Smith | Dentist | 7600 Raytown Road, Suite 102, Raytown, MO 64138-1855 | 2007-01-16 |
| 1316014582 | Gary Steven Smith | Technician/Technologist | 2400 N Croatan Hwy, Kill Devil Hills, NC 27948-9355 | 2006-11-30 |
| Street Address |
1013 N 5TH AVE NE SUITE 4 |
| City | ROME |
| State | GA |
| Zip Code | 30165-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082124 | Larry Hugh Formby | Urology | 1013 N 5th Ave Ne, Ste One, Rome, GA 30165-2664 | 2005-09-01 |
| 1447609383 | Miranda Paige Wisenbaker | Nurse Practitioner | 1013 N 5th Ave Ne, Rome, GA 30165-2664 | 2016-06-10 |
| 1114355435 | Christa Lauren Szabo | Nurse Practitioner | 1013 N 5th Ave Ne, Rome, GA 30165-2664 | 2013-10-23 |
| 1386078624 | Melissa Anne Hardison | Nurse Practitioner | 1013 N 5th Ave Ne, Rome, GA 30165 | 2013-08-22 |
| 1467701672 | Mary Ann Long | Nurse Practitioner | 1013 N 5th Ave Ne, Rome, GA 30165-2664 | 2012-09-04 |
| 1891810669 | Van A Davis | Optometrist | 1013 N 5th Ave Ne, Suite 3, Rome, GA 30165-2664 | 2007-03-20 |
| 1477695302 | Rome Optical Company Inc | Durable Medical Equipment & Medical Supplies | 1013 N 5th Ave Ne, Suite 3, Rome, GA 30165-2664 | 2007-02-14 |
| 1760564173 | Frank G Pratt Jr. | Psychiatry & Neurology | 1013 N 5th Ave Ne, Ste 4, Rome, GA 30165-2664 | 2006-10-19 |
| 1023084365 | Dennis M Heller | Dentist | 1013 N 5th Ave Ne, Suite 6, Rome, GA 30165-2664 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1164874319 | Lauren Pierson | Optometrist | 1300 Floyd Ave Ste 1, Rome, NY 13440-4600 | 2016-07-11 |
| 1942550256 | Gary L Smith Od PC | Optometrist | 1013 N 5th Ave Ne Ste 4, Rome, GA 30165-2664 | 2012-09-13 |
| 1346406717 | Robin L Scoggin | Optometrist | 203 Glen Milner Blvd, Rome, GA 30161-3239 | 2008-08-05 |
| 1821140260 | Doug V Reeves | Optometrist | 1102 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2007-01-17 |
| 1598855645 | Yvonne Elizabeth Popek | Optometrist | 5807 Rome-taberg Rd., Rome, NY 13440 | 2006-10-12 |
| 1962597443 | Earnest Lee Cardwell | Optometrist | 2510 Redmond Circle, Rome, GA 30165 | 2006-10-03 |
| 1457443277 | Robin L Cone | Optometrist | 600 Mount Berry Sq Ne, Rome, GA 30165-6190 | 2006-09-29 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1114986312 | Sahera Dawoodjee | Optometrist | 933 Rome Taberg Rd Suite 2, Empire Vision Centers, Rome, NY 13440 | 2006-03-17 |
| Find all providers in ROME | ||||
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| 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.