MYEYEDR OPTOMETRY OF GEORGIA, LLC (NPI# 1083675136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083675136 |
| Entity Type | Organization |
| Organization Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Practice Address |
1014 Northside Dr E Statesboro GA 30458-1002 |
| Mailing Address |
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990 |
| Practice Telephone | 9127649147 |
| Practice Fax Number | 9127647219 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 7039910514 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MRS. SUE DOWNES (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CIGNA GOV'T SERVICES | 0537440002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1386112167 | Myeyedr Optometry of Georgia, LLC | Optometrist | 7203 Hodgson Memorial Dr Ste A, Savannah, GA 31406-1525 | 2018-11-09 |
| 1770033383 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15043 Us Highway 19 S, Thomasville, GA 31792-4869 | 2016-10-06 |
| 1164549366 | Myeyedr Optometry of Georgia, LLC | Optometrist | 14045 Abercorn St Ste 31, Savannah Mall, Savannah, GA 31419-1978 | 2007-03-23 |
| 1689657322 | Myeyedr Optometry of Georgia, LLC | Optometrist | 503 Furys Ferry Rd, Martinez, GA 30907-9059 | 2005-11-28 |
| 1427617042 | Myeyedr Optometry of Georgia, LLC | Optometrist | 109 12th St, Columbus, GA 31901-5245 | 2019-06-07 |
| 1093289084 | Myeyedr Optometry of Georgia, LLC | Optometrist | 4521 17th Ave, Columbus, GA 31904-6344 | 2019-01-14 |
| 1881175339 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1415 Wooten Lake Rd Nw Ste 100, Kennesaw, GA 30144-1342 | 2018-08-23 |
| 1275036154 | Myeyedr Optometry of Georgia, LLC | Optometrist | 2120 Highway 76, Chatsworth, GA 30705-7302 | 2018-03-16 |
| 1790288850 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1044 Avalon Pkwy, Mcdonough, GA 30253-7661 | 2018-03-15 |
| Street Address |
1014 NORTHSIDE DR E |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835066 | Lacy Alvarez | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2015-07-01 |
| 1952715922 | Matthew Harrison Cain | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2014-06-17 |
| 1124080080 | Stephen Cauley | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1033462965 | Eagle Eye Care | Optometrist | 98 Georgia Ave., Bldg 356, Statesboro, GA 30458 | 2012-10-16 |
| 1831389949 | Laircey Eye Services PC | Optometrist | 820 Hwy 80 E, Statesboro, GA 30461-0800 | 2007-07-26 |
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1447286976 | Brent Coleman Laircey | Optometrist | 820 Us Highway 80 E, Statesboro, GA 30461-0800 | 2006-06-25 |
| 1376582916 | Christopher C Hinson | Optometrist | 420 Gentilly Pl, Statesboro, GA 30458-5144 | 2006-06-06 |
| 1386606374 | John Michael Porter | Optometrist | 360 Northside Dr E, Statesboro, GA 30458-4839 | 2006-04-05 |
| 1558339135 | John Perry Hendrix | Optometrist | 730 Northside Dr E, Statesboro, GA 30458-4766 | 2006-03-09 |
| 1851373567 | Horace E Deal | Optometrist | 214 Savannah Ave, Statesboro, GA 30458-5165 | 2005-11-17 |
| 1366003410 | Dylan Piette | Optometrist | 214 Savannah Ave, Statesboro, GA 30458-5165 | 2019-06-27 |
| 1538720438 | Emily Champion | Optometrist | 147 Northside Dr E, Statesboro, GA 30458-4760 | 2019-06-22 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on MYEYEDR OPTOMETRY OF GEORGIA, LLC.
| 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.