SAVANNAH FAMILY VISION CENTER (NPI# 1174672158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174672158 |
| Entity Type | Organization |
| Organization Name | SAVANNAH FAMILY VISION CENTER |
| Practice Address |
3709 Waters Ave Savannah GA 31404-6254 |
| Practice Telephone | 9123541434 |
| Practice Fax Number | 9123541996 |
| Mailing Telephone | 9123541434 |
| Mailing Fax Number | 9123541996 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES ALPHONSO DANDY SR. (OWNER AND OPERATOR) |
| Authorized Official Telephone | 9122329700 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 046074 | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212612 | Savannah Family Vision Center | Optometrist | 3709 Waters Ave, Savannah, GA 31404-6254 | 2011-01-13 |
| Street Address |
3709 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212612 | Savannah Family Vision Center | Optometrist | 3709 Waters Ave, Savannah, GA 31404-6254 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| 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 |
|---|---|---|---|---|
| 1033300496 | Professional Optical Services | Eyewear Supplier (Equipment, not the service) | 2 East Jackson Blvd, Savannah, GA 31405-5810 | 2007-08-09 |
| 1255469649 | Iris Optical Inc | Eyewear Supplier (Equipment, not the service) | 7929 Abercorn Street, Suite 300, Savannah, GA 31406-3438 | 2007-02-28 |
| 1104972967 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 7917 Abercorn Street, Savannah, GA 31406 | 2007-01-26 |
| 1831244565 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7804 Abercorn St Ste 10, Savannah, GA 31406-3502 | 2007-01-24 |
| 1871672683 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5500 Abercorn St Ste 23, Savannah, GA 31405 | 2006-11-03 |
| 1316978562 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 7400 Abercorn St # 807-809, Savannah Centre, Savannah, GA 31406-2447 | 2006-07-05 |
| 1134176159 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6000 Ogeechee Rd, Savannah, GA 31419-9544 | 2006-05-27 |
| 1518375500 | Mark Lynn O.d. & Associates, PC | Eyewear Supplier (Equipment, not the service) | 318 Mall Blvd, Ste 600 Unit A, Savannah, GA 31406-4700 | 2014-07-23 |
| 1760651046 | Jerry D Rogers | Eyewear Supplier (Equipment, not the service) | 175 Ji Bell Ln, Savannah, TN 38372-5110 | 2008-02-21 |
| 1770761462 | The Optical Shop | Eyewear Supplier (Equipment, not the service) | 712 E 69th St, Savannah, GA 31405-4716 | 2008-02-05 |
| Find all providers in SAVANNAH | ||||
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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.