EYE CENTER OPTICAL, LLC (NPI# 1063624997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063624997 |
| Entity Type | Organization |
| Organization Name | EYE CENTER OPTICAL, LLC |
| Practice Address |
2108 N Patterson St Valdosta GA 31602-2947 |
| Mailing Address |
Po Box 3223 Valdosta GA 31604-3223 |
| Practice Telephone | 2292442790 |
| Mailing Telephone | 2292442790 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KRISTIAN KEESLING (CFO) |
| Authorized Official Telephone | 2292443000 |
| Authorized Official Credential | C.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
2108 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407816549 | Cynthia Jordan Harris | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2006-03-24 |
| 1699320713 | Laura Maurine Mosley | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2019-08-06 |
| 1043409683 | Insight Therapy Services, LLC | Occupational Therapist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2007-10-19 |
| 1497954374 | Jodie Summers Norman | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2007-07-12 |
| 1750506671 | Steven M. Wilson, O.d., P.C. | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2007-04-16 |
| 1861591638 | David K. Price | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2006-09-21 |
| 1326008459 | Steven Michael Wilson | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1629639455 | Courtney Sartin | Optometrist | 4120 N Valdosta Rd, Valdosta, GA 31602-4973 | 2019-06-24 |
| 1245670462 | At Home Eye Care LLC | Optometrist | 4147 Ginger Trl, Valdosta, GA 31602-7616 | 2013-07-02 |
| 1689981953 | Barthelemy's Optical LLP | Optometrist | 2236 Bemiss Rd, Suite A, Valdosta, GA 31602-1942 | 2010-09-08 |
| 1861671885 | Michael D. Hopkins, O.d. PC | Optometrist | 601 N Patterson St, Valdosta, GA 31601-4648 | 2007-10-26 |
| 1407816549 | Cynthia Jordan Harris | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2006-03-24 |
| 1699320713 | Laura Maurine Mosley | Optometrist | 2108 N Patterson St, Valdosta, GA 31602-2947 | 2019-08-06 |
| 1851769004 | Deborah F Mcdonald Od PC | Optometrist | 3001 N Ashley St, Valdosta, GA 31602-1709 | 2015-09-04 |
| 1609171800 | South Georgia Eye Partners, PC | Optometrist | 340 Norman Dr, Valdosta, GA 31601-7713 | 2011-01-19 |
| 1437452380 | Valerie Cecelia Ferrell | Optometrist | 4380 Kings Way, Valdosta, GA 31602-6921 | 2010-12-15 |
| 1780993899 | Optical Associates of South Ga LLP | Optometrist | 3024 N Patterson St, Valdosta, GA 31602-1711 | 2010-10-07 |
| Find all providers in VALDOSTA | ||||
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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.