# GHM OPTICAL SHOP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GHM OPTICAL SHOP
- **Other names:** THE GLASSES STORE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679790315
- **Legal business name:** GHM OPTICAL SHOP
- **Authorized official:** DR. GEORGE T MCKNIGHT MD (OWNER PARTNER)
- **Authorized official phone:** (850) 505-7788

## Contact information

- **Practice address:** 3577 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3407
- **Practice address phone:** (850) 934-3876
- **Mailing address:** 6190 N DAVIS HWY, PENSACOLA, FL 32504-6969
- **Mailing address phone:** (850) 505-7788
- **Mailing address fax:** (850) 471-0277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 05923 | FL | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 05/13/2009
