JEFFREY RAY KUCK (NPI# 1225639420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225639420 |
| Entity Type | Individual |
| Full Name | JEFFREY RAY KUCK |
| Credential | OD |
| Practice Address |
262 S Main St Cleveland GA 30528-1403 |
| Practice Telephone | 7062194444 |
| Mailing Telephone | 7062194444 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT003296 | GA | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT003296 | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 134 Ansley Drive, Dahlonega, Ga 30533, Ste 300, Dahlonega, GA 305333053 | 7062194444 |
| Street Address |
262 S MAIN ST |
| City | CLEVELAND |
| State | GA |
| Zip Code | 30528-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168107 | Dalton Eyecare Professionals, PC | Optometrist | 262 S Main St, Cleveland, GA 30528-1403 | 2007-05-01 |
| 1194946905 | Dalton Family Eyecare, Inc. | Optometrist | 262 S Main St, Cleveland, GA 30528-1403 | 2007-05-01 |
| 1831205509 | Calvin D Dalton II | Optometrist | 262 S Main St, Cleveland, GA 30528-1403 | 2006-08-22 |
| 1104931724 | Joan Marie Sears | Optometrist | 262 S Main St, Cleveland, GA 30528-1403 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154914 | Syah, LLC | Internal Medicine | 142 Parkway Plaza, Cleveland, GA 30528 | 2018-11-30 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1902080138 | Dr. Don Robbins Inc | Optometrist | 514 W Kytle St., Cleveland, GA 30528 | 2007-12-24 |
| 1013101617 | Abbastar, Inc | Chiropractor | 783 S. Main St., Suite 10, Cleveland, GA 30528 | 2007-08-28 |
| 1023210044 | Peachtree Pharmacy Services | Pharmacist | 1018 South Main Str, Hwy 129 Suite A, Cleveland, GA 30528 | 2007-06-01 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1568591113 | Clare Stinespring | Physical Therapist | 34 Courthouse Square, Cleveland, GA 30528 | 2007-03-02 |
| 1811038359 | Joanne Holt Edmondson | Counselor | 42 North Avenue Suite 100, Cleveland, GA 30528 | 2007-02-09 |
| 1700931037 | Associates of Family Dentistry | Dentist | 549 South Main St, Cleveland, GA 30528 | 2007-01-25 |
| Find all providers in zip 30528 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839368 | Daniel R. Freson | Optometrist | 2012 W 25th St Lbby 1, Cleveland, OH 44113-4131 | 2006-07-09 |
| 1164412102 | Samuel Harvey Horner IIi | Optometrist | 40 2nd St Nw, Cleveland, TN 37311-5009 | 2005-10-21 |
| 1083675664 | Scott Seidel | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791076 | Shipley & Wayland Eyecare LLC | Optometrist | 7768 Cumming Hwy Ste 500, Canton, GA 30115-2984 | 2019-10-15 |
| 1023463528 | Eminence Family Eyecare, LLC | Optometrist | 6300 Atlanta Hwy # 9, Suite 101a, Alpharetta, GA 30004-7821 | 2016-05-03 |
| 1689066284 | Dr James L Purvis, LLC | Optometrist | 7104 Waterstone Pl, Buford, GA 30518-5125 | 2015-02-19 |
| 1679878524 | Optique At Brookhaven, LLC | Optometrist | 305 Brookhaven Ave, Sw 1110, Atlanta, GA 30319-4316 | 2011-01-24 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1952617300 | Sima Dori | Optometrist | 2204 Cherring Ln, Dunwoody, GA 30338-5229 | 2010-08-24 |
| 1720217771 | Advanced Eye Associates LLC | Optometrist | 2645 Dallas Hwy Sw, Suite 100, Marietta, GA 30064-2541 | 2009-07-13 |
| 1750541355 | Mcarthur Griffin | Optometrist | 1700 Mount Zion Rd, Morrow, GA 30260-3014 | 2008-06-17 |
| 1942428362 | Farhad Kapadia | Optometrist | 2994 Turner Hill Rd, Lithonia, GA 30038-2526 | 2007-04-23 |
| 1225161185 | Robert Joseph Barnes | Optometrist | 650 Ponce De Leon Ave Ne, Suite 630a, Atlanta, GA 30308-1804 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
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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.