GARY E ROQUEMORE (NPI# 1013905637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905637 |
| Entity Type | Individual |
| Full Name | GARY E ROQUEMORE |
| Credential | OD |
| Practice Address |
904 Highway 78 E Jasper AL 35501-3957 |
| Practice Telephone | 2052216718 |
| Practice Fax Number | 2052217578 |
| Mailing Telephone | 2052216718 |
| Mailing Fax Number | 2052217578 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2010-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S438TA078 | AL | Eye and Vision Services Providers |
| Street Address |
904 HIGHWAY 78 E |
| City | JASPER |
| State | AL |
| Zip Code | 35501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689128241 | Jasper Hearing Center, LLC | Audiologist | 904 Highway 78 E, Jasper, AL 35501-3957 | 2016-08-11 |
| 1801046800 | Kristi Mallicote Allen | Audiologist | 904 Highway 78 E, Jasper, AL 35501-3957 | 2008-09-25 |
| 1255490041 | Eyecare Associates, Inc. | Durable Medical Equipment & Medical Supplies | 904 Highway 78 E, Jasper, AL 35501-3957 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| 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 |
|---|---|---|---|---|
| 1417589664 | Kenny Holloway Od PC | Optometrist | 233 Sterling Rd, Jasper, GA 30143-3126 | 2020-02-05 |
| 1376827675 | Patricia Galos, Od PC | Optometrist | 802 W Gibson St, Jasper, TX 75951-4914 | 2011-10-05 |
| 1770617300 | Gilbert James O D Inc | Optometrist | 800 W Church St, Jasper, GA 30143-1406 | 2007-03-15 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1114066081 | Carey R Fracht | Optometrist | 130 N Austin St, Jasper, TX 75951-4102 | 2007-02-06 |
| 1750447017 | Andrea Dee Sims | Optometrist | 1320 Highway 78 E, Jasper, AL 35501-3965 | 2006-12-29 |
| 1407954837 | James Eye Associates, Pllc | Optometrist | 2051 S Wheeler St Ste C, Jasper, TX 75951-5600 | 2006-09-20 |
| 1265538508 | Taibele Karen Wesley | Optometrist | 205 Oakhill Rd, Ste A, Jasper, AL 35504 | 2006-09-15 |
| 1922102425 | Mark C Ferris | Optometrist | 309 19th St E, Jasper, AL 35501-5413 | 2006-09-13 |
| 1215047097 | Daryl G Custred | Optometrist | 1499 N Airport Rd, Jasper, AL 35504-8882 | 2006-08-30 |
| Find all providers in JASPER | ||||
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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.