S P D OPTICAL INC (NPI# 1124189113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124189113 |
| Entity Type | Organization |
| Organization Name | S P D OPTICAL INC |
| Other Organization Name | AMERICAN VISION CENTER |
| Practice Address |
3700 Atlanta Hwy Athens GA 30606-7201 |
| Practice Telephone | 7065437925 |
| Practice Fax Number | 7065469025 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | MR. PHILIP FRIEDLAND (OWNER) |
| Authorized Official Telephone | 7065437925 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 001503 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE NSC | 0234640002 | 01 |
| Other Name | Type Code |
|---|---|
| AMERICAN VISION CENTER | Doing Business As Name - Organization |
| Street Address |
3700 ATLANTA HWY |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326018458 | Philip Friedland | Technician/Technologist | 3700 Atlanta Hwy, Athens, GA 30606-7201 | 2006-01-23 |
| 1982921029 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3700 Atlanta Hwy, Georgia Square Mall, Athens, GA 30610-7201 | 2010-04-29 |
| 1205969235 | William H Shuman | Optometrist | 3700 Atlanta Hwy, Athens, GA 30606-7201 | 2007-03-13 |
| 1245304682 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3700 Atlanta Hwy, Georgia Square Mall, Athens, GA 30610-7201 | 2006-11-18 |
| 1073601514 | Karen Y Castleberry | Optometrist | 3700 Atlanta Hwy, #141, Athens, GA 30606-7201 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403738 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 1240 S Palestine St, Athens, TX 75751-3619 | 2017-08-22 |
| 1295025674 | Pamela Correll, LLC | Eyewear Supplier (Equipment, not the service) | 2440 W Broad St Ste 14, Athens, GA 30606-3428 | 2011-04-19 |
| 1265617336 | Funkhouser Opticians | Eyewear Supplier (Equipment, not the service) | 1206 S Palestine St, Athens, TX 75751-3619 | 2008-01-08 |
| 1013061027 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3654 Atlanta Hwy Ste B, Athens, GA 30606-6979 | 2007-01-23 |
| 1801249313 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2016-07-20 |
| 1487063186 | Mark Lynn O.d. & Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 1805 Epps Bridge Pkwy, Suite 105, Athens, GA 30606-6145 | 2014-08-06 |
| 1982921029 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3700 Atlanta Hwy, Georgia Square Mall, Athens, GA 30610-7201 | 2010-04-29 |
| 1578729075 | Jing Dong M.d. P.C. | Eyewear Supplier (Equipment, not the service) | 651 S Milledge Ave, Athens, GA 30605-1250 | 2008-08-04 |
| 1780851170 | Russell D Springer, P.C. | Eyewear Supplier (Equipment, not the service) | 1000 Hawthorne Ave, Ste A, Athens, GA 30606-2168 | 2008-05-14 |
| 1821266834 | Logan Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 740 Prince Ave Ste 15, Athens, GA 30606-5903 | 2008-02-12 |
| Find all providers in ATHENS | ||||
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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.