RON M BANNISTER (NPI# 1053417956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053417956 |
| Entity Type | Individual |
| Full Name | RON M BANNISTER |
| Credential | OD |
| Practice Address |
15196 Us Highway 19 S Thomasville GA 31757-4820 |
| Mailing Address |
102 S Dawson St Thomasville GA 31792-5185 |
| Practice Telephone | 2292284770 |
| Practice Fax Number | 2292259060 |
| Mailing Telephone | 2292269190 |
| Mailing Fax Number | 2292268824 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT000844 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AVESIS PIN | 40064 | 01 |
| GA | 000139334A | 05 | |
| GA | DME-MEDICARE | 0271120001 | 01 |
| Street Address |
15196 US HIGHWAY 19 S |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31757-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104210244 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15196 Us Highway 19 S, Thomasville, GA 31757-4820 | 2015-03-26 |
| 1891817573 | Amy M. Stephens, O.d., P.a. | Optometrist | 15196 Us Highway 19 S, Thomasville, GA 31757-4820 | 2007-04-04 |
| 1346307030 | Earl Douglas Crew Jr. | Optometrist | 15196 Us Highway 19 S, Thomasville, GA 31757-4820 | 2007-01-02 |
| 1598825184 | Amy M Stephens | Optometrist | 15196 Us Highway 19 S, Thomasville, GA 31757-4820 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235489683 | Albany Area Primary Health Care, Inc | Clinic/Center | 14540 Us Hwy 19 S Ste#1, Thomasville, GA 31757 | 2012-09-13 |
| 1497942858 | Robert Michael Donovan | Physician Assistant | 3851 Ga Highway 122, Thomasville, GA 31757 | 2007-10-01 |
| 1831255173 | Georgia Pines Community Service Board | Community/Behavioral Health | 349 Shoreline Drive, Thomasville, GA 31757 | 2006-12-29 |
| 1427131952 | Alan Sanders | Dentist | 396 Liberty Street, Thomasville Dental Center, Thomasville, GA 31757 | 2006-10-20 |
| 1588760367 | Todd Anthony Hanscom | Chiropractor | 17020 Us Hwy 19 North, Thomasville, GA 31757 | 2006-09-16 |
| 1396107447 | Jodi Michelle Cox Davalos | Dentist | 215 Constitution Ave, Thomasville, GA 31757 | 2016-03-27 |
| 1265598767 | Thomasville Dental Center | Dentist | 396 Liberty Street, Thomasville, GA 31757 | 2006-12-29 |
| 1548721053 | Lisa Taylor | Nurse Practitioner | 669 Saint Paul Rd, Thomasville, GA 31757-0704 | 2019-03-27 |
| 1508429861 | Bionca Juannay Stewart | Social Worker | 481 Point Rd, Thomasville, GA 31757-0938 | 2019-04-22 |
| 1912524067 | Kuluvanda Quarlette Cason | Licensed Practical Nurse | 241 Point Rd, Thomasville, GA 31757-0940 | 2020-07-05 |
| Find all providers in zip 31757 | ||||
| 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 |
|---|---|---|---|---|
| 1770033383 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15043 Us Highway 19 S, Thomasville, GA 31792-4869 | 2016-10-06 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1154593614 | Earl Douglas Crew Jr Od | Optometrist | 15043 Us Highway 19 South, Thomasville, GA 31792 | 2008-03-25 |
| 1316125206 | Ron M Bannister Od | Optometrist | 102 S Dawson St, Thomasville, GA 31792-5185 | 2008-02-04 |
| 1891841599 | Selma Family Practice Optometry, Inc. | Optometrist | 32510 Highway 43n, Thomasville, AL 36784-1622 | 2007-01-26 |
| 1710047329 | Robin G Eason | Optometrist | 14815 Us Highway 19 S, Suite 1000, Thomasville, GA 31792-4889 | 2006-12-12 |
| 1891726691 | Pr Eyecare Consulting Group Od Pa | Optometrist | 1040 Randolph Str, Ste 14-15, Thomasville, NC 27360 | 2006-07-06 |
| 1629051693 | Peter Michael Rogaski | Optometrist | 1040 Randolph St, Ste 1415, Thomasville, NC 27360-6383 | 2005-11-23 |
| 1134113475 | Paul Douglas Ware | Optometrist | 1585 Liberty Dr, Thomasville, NC 27360-6356 | 2005-09-01 |
| 1295733426 | James S Pope | Optometrist | 1033 Randolph St Ste 4, Thomasville, NC 27360-5731 | 2005-07-12 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31757 |
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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.