DR. GARY ARTHUR ROACH


Address: 404 E Center Ave, Mooresville, NC 28115-2544
Phone: 7046633924

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 863 NC Eye and Vision Services Providers

Other Provider Identifier

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

Other Providers GARY ROACH

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

Office Location

Street Address 404 E CENTER AVE
City MOORESVILLE
State NC
Zip Code 28115-2544

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City MOORESVILLE
Zip Code 28115

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Dataset Information

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.

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