GEORGIA OPHTHALMOLOGISTS LLC (NPI# 1366800914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366800914 |
| Entity Type | Organization |
| Organization Name | GEORGIA OPHTHALMOLOGISTS LLC |
| Practice Address |
860 W 3rd St Jackson GA 30233 |
| Mailing Address |
4159 Mill St Ne Covington GA 30014-2546 |
| Practice Telephone | 7707751234 |
| Practice Fax Number | 7707751234 |
| Mailing Telephone | 7707861234 |
| Mailing Fax Number | 6787126977 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | MRS. STACY BIGLES (ADMINISTRATOR) |
| Authorized Official Telephone | 7707861234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801286 | Georgia Ophthalmologists LLC | Optometrist | 1311 W Spring St, Monroe, GA 30655-1758 | 2017-10-12 |
| 1417467044 | Georgia Ophthalmologists LLC | Optometrist | 1747 Langford Dr, Building 400 Suite 101, Watkinsville, GA 30677 | 2017-10-10 |
| 1669831764 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2016-02-17 |
| 1619349610 | Georgia Ophthalmologists LLC | Non-Pharmacy Dispensing Site | 4159 Mill St Ne, Covington, GA 30014-2546 | 2015-10-29 |
| 1851672109 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-08-31 |
| 1477831360 | Georgia Ophthalmologists LLC | Clinic/Center | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-27 |
| 1932497575 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-18 |
| Street Address |
860 W 3RD ST |
| City | JACKSON |
| State | GA |
| Zip Code | 30233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| 1740755719 | Byron A Thompson | Counselor | 794 Mcdonough Rd, Jackson, GA 30233 | 2018-10-05 |
| Find all providers in zip 30233 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432754 | Encore Care Inc | Durable Medical Equipment & Medical Supplies | 55 N County Line Rd Ste 6, Jackson, NJ 08527-1394 | 2019-08-15 |
| 1720542855 | Jea Optical LLC | Durable Medical Equipment & Medical Supplies | 1200 N State St Ste 110, Jackson, MS 39202-2027 | 2019-01-23 |
| 1689142317 | 3 B Labs | Durable Medical Equipment & Medical Supplies | 3011 Greystone Sq, Jackson, TN 38305-3590 | 2018-11-12 |
| 1043726896 | Elite Medical Supply | Durable Medical Equipment & Medical Supplies | 1166 Greenway Dr Ste A3, Jackson, MO 63755-2919 | 2017-12-15 |
| 1124551205 | Quincy Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5303 Old Cape Rd E Ste A, Jackson, MO 63755-3850 | 2017-04-06 |
| 1295277952 | G & N Enterprise, LLC | Durable Medical Equipment & Medical Supplies | 460 Briarwood Dr Ste 100, Jackson, MS 39206-3053 | 2016-11-12 |
| 1417305665 | J.u.s.t. Orthotics | Durable Medical Equipment & Medical Supplies | 1020 Aspen Dr, Jackson, MO 63755-1152 | 2016-05-27 |
| 1710332325 | Apex Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 189 N Lacey St, Suite 2, Jackson, MO 63755-2496 | 2016-05-02 |
| 1285099192 | At-home Medical Supply | Durable Medical Equipment & Medical Supplies | 5015 I 55 N Ste B, Jackson, MS 39206-4306 | 2015-12-18 |
| 1932570454 | Lhc Medical Supplies | Durable Medical Equipment & Medical Supplies | 5725 Highway 18 W, Jackson, MS 39209-9604 | 2015-10-09 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on GEORGIA OPHTHALMOLOGISTS 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.