DR. NICOLE A GURBAL (NPI# 1588659692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588659692 |
| Entity Type | Individual |
| Full Name | DR. NICOLE A GURBAL |
| Credential | O.D. |
| Practice Address |
619 Dixie St Carrollton GA 30117-3816 |
| Practice Telephone | 7708340212 |
| Practice Fax Number | 7708340213 |
| Mailing Telephone | 7708340212 |
| Mailing Fax Number | 7708340213 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT002230 | GA | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
OPT002230 | GA | Eye and Vision Services Providers |
| Street Address |
619 DIXIE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797666 | Jennifer Peeples Carter | Optometrist | 619 Dixie St, Carrollton, GA 30117-3816 | 2005-08-18 |
| 1841350048 | West Georgia Eye Care | Optometrist | 619 Dixie St, Carrollton, GA 30117-3816 | 2006-12-11 |
| 1528053774 | Michael Scott Rothschild | Optometrist | 619 Dixie St, Carrollton, GA 30117-3816 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528135670 | Melinda Sue Surdacki | Optometrist | 2810 E Trinity Mills Rd, Suite 173, Carrollton, TX 75006-2545 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430537 | Happy Eyes LLC | Optometrist | 108 Riverstone Pkwy Ste 13, Canton, GA 30114-2448 | 2020-09-02 |
| 1154569069 | Family Eye Care Center of Atlanta, Inc | Optometrist | 1400 Southlake Mall, Morrow, GA 30260-2328 | 2009-01-30 |
| 1538309851 | Belvedere Eye Center, Inc. | Optometrist | 3479 Memorial Dr, Exhibit A&b, Decatur, GA 30032-2735 | 2009-02-26 |
| 1487832366 | Thompson Eye Clinic | Optometrist | 1601 Macon Rd, Perry, GA 31069-2208 | 2008-02-04 |
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on DR. NICOLE A GURBAL.
| 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.