| Organization Name: | GUMM'S OPTICAL SHOPPE INC. |
| NPI Number: | 1164641577 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN GUMM (REGISTERED DISPENSING OPTICIAN) |
| Mailing Address: | 910 Main St Suite C Red Bluff |
| State: | CA US |
| Postal Code: | 960802735 |
| Phone Number: | 5305272510 |
| Fax Number: | 5305291150 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | D 1940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |