DR. GARY ARTHUR ROACH (NPI# 1922007251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922007251 |
Entity Type | Individual |
Full Name | DR. GARY ARTHUR ROACH |
Credential | O.D. |
Practice Address |
404 E Center Ave Mooresville NC 28115-2544 |
Practice Telephone | 7046633924 |
Practice Fax Number | 7046637057 |
Mailing Telephone | 7046633924 |
Mailing Fax Number | 7046637057 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2014-11-20 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-03-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 863 | NC | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8909775 | 05 | |
NC | UNITED HEALTHCARE | 2209268 | 01 |
NC | BCBS | 09775 | 01 |
NC | PALMETTO DMERC | 0236390001 | 01 |
NC | PARTNERS | 15906 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598826281 | Gary A. Roach | Dentist | 5004 Brambleton Ave, Roanoke, VA 24018-4642 | 2006-12-13 |
1336227941 | Gary W. Roach | Anesthesiology | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
Street Address |
404 E CENTER AVE |
City | MOORESVILLE |
State | NC |
Zip Code | 28115-2544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164833851 | Mooresville Eye Care, Od, Pllc | Optometrist | 404 E Center Ave, Mooresville, NC 28115-2544 | 2014-05-15 |
1922015049 | Gary A. Roach, O.d., P.a. | Optometrist | 404 E Center Ave, Mooresville, NC 28115-2544 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
Find all providers in zip 28115 |
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 |
---|---|---|---|---|
1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
1548681406 | David Wichnoski Od Pa | Optometrist | 119 Landing Dr, Ste 105, Mooresville, NC 28117 | 2013-12-19 |
1962842807 | Eyes On Lake Norman Optometry, Pa | Optometrist | 134 Mooresville Commons Way, Suite D, Mooresville, NC 28117-8942 | 2013-06-25 |
1093040511 | Tarr Optometric, Pllc | Optometrist | 250 Welton Way, Mooresville, NC 28117-8161 | 2009-10-16 |
1730363144 | Lake Norman Eye Od Pa | Optometrist | 548 Williamson Rd Ste 1, Mooresville, NC 28117 | 2007-12-20 |
1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
1255477097 | Dawn Ellen Wright | Optometrist | 401 S Indiana St, Suite C, Mooresville, IN 46158-2798 | 2007-01-29 |
1467465328 | Hobbs Optometry, Pa | Optometrist | 594 River Highway, Mooresville, NC 28117-6829 | 2006-08-14 |
1952325870 | Michael Dwayne Miller | Optometrist | 258 E High St, Mooresville, IN 46158-1638 | 2006-07-26 |
1225088503 | David M Noonan | Optometrist | 169 Norman Station Blvd, Mooresville, NC 28117-6396 | 2006-05-10 |
Find all providers in MOORESVILLE |
City | MOORESVILLE |
Zip Code | 28115 |
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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.