DR. B. E. POPHAM JR. (NPI# 1053489104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053489104 |
| Entity Type | Individual |
| Full Name | DR. B. E. POPHAM JR. |
| Credential | O.D. |
| Practice Address |
12 Nelson St Cartersville GA 30120-2813 |
| Mailing Address |
12 Nelson St P. O. Box 295 Cartersville GA 30120-2813 |
| Practice Telephone | 7703821144 |
| Practice Fax Number | 7703821144 |
| Mailing Telephone | 7703821144 |
| Mailing Fax Number | 7703821144 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 669-T | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00112626A | 05 |
| Street Address |
12 NELSON ST |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| 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 |
|---|---|---|---|---|
| 1588201248 | Atl Optical LLC | Optometrist | 122 N Morningside Dr, Cartersville, GA 30121-2912 | 2019-12-02 |
| 1992108484 | Dimple Hasmukh Patel | Optometrist | 460 Cherokee Pl, Cartersville, GA 30121-2963 | 2014-09-29 |
| 1831214782 | Amy Chiu | Optometrist | 239 Market Place Blvd, Cartersville, GA 30121-2235 | 2007-03-20 |
| 1407949092 | Jennifer Jabaley | Optometrist | 837 Joe Frank Harris Parkway, Cartersville, GA 30120 | 2006-10-02 |
| 1841230612 | Emokeniovo Omono Thompson | Optometrist | 509 N Tennessee St, Cartersville, GA 30120-2889 | 2006-06-08 |
| 1649253410 | Larry Ray Brown | Optometrist | 101 Market Place Blvd, Cartersville, GA 30121-2236 | 2005-11-24 |
| 1619507886 | Atl Optical LLC | Optometrist | 122 N Morningside Dr, Cartersville, GA 30121-2912 | 2020-01-16 |
| 1184110249 | William Hood | Optometrist | 837 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 | 2018-07-02 |
| 1407229685 | Myeyedr Optometry of Georgia, LLC | Optometrist | 123 W Main St, Ste A, Cartersville, GA 30120-3507 | 2015-11-10 |
| 1518390046 | Suresight Enterprises LLC | Optometrist | 123 W Main St, Ste100, Cartersville, GA 30120-3507 | 2013-08-20 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.