DR. JAMES T. BEVERLY III (NPI# 1376562850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376562850 |
| Entity Type | Individual |
| Full Name | DR. JAMES T. BEVERLY III |
| Credential | OD |
| Practice Address |
635 Pio Nono Ave Macon GA 31204 |
| Practice Telephone | 4788030001 |
| Practice Fax Number | 4782544997 |
| Mailing Telephone | 4788030001 |
| Mailing Fax Number | 4782544997 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1471 | GA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1471 | GA | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1471 | GA | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1471 | GA | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
1471 | GA | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1471 | GA | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
1471 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000687981G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215245287 | James Marc Beverly | Physician Assistant | 6101 Imperata St Ne, #2422, Albuquerque, NM 87111 | 2010-09-23 |
| Street Address |
635 PIO NONO AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884255 | Bws Major Management Systems | Pharmacy | 635 Pio Nono Ave, Macon, GA 31204-3531 | 2006-03-12 |
| 1619530664 | Bws Major Management Systems | Pharmacy | 635 Pio Nono Ave, Macon, GA 31204-3531 | 2019-04-16 |
| 1073943486 | Miriam Dennis Turner | Optometrist | 635 Pio Nono Ave, Macon, GA 31204-3531 | 2013-11-21 |
| 1992031074 | Midtowne Vision Center, Inc | Optometrist | 635 Pio Nono Ave, Macon, GA 31204-3531 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| 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 |
|---|---|---|---|---|
| 1487289609 | National Vision Inc | Optometrist | 1401 Gray Hwy Ste 700, Macon, GA 31211-1905 | 2020-03-09 |
| 1649802430 | National Vision Inc | Optometrist | 1625 Bass Rd Ste 270, Macon, GA 31210-6580 | 2020-02-10 |
| 1396229340 | Pamela Denise Earls | Optometrist | 101 Westchester Dr, Macon, GA 31210-7536 | 2018-09-15 |
| 1659780310 | King Family Eye Care,llc | Optometrist | 1005 Underwood Dr, Macon, GA 31210-3332 | 2014-08-07 |
| 1396968566 | Russell Chambless | Optometrist | 3353 Mercer University Dr, Macon, GA 31204-5082 | 2007-04-10 |
| 1700922242 | David K Murnan | Optometrist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1013093681 | Vision Care Associates, LLC | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2006-10-27 |
| 1841301686 | William Alan Schobel Sr. | Optometrist | 1376 Gray Highway, Downtown Opticians, Macon, GA 31211 | 2006-08-31 |
| 1063463487 | A Miles and Associates Inc | Optometrist | 3075 Vineville Ave, Macon, GA 31204-2460 | 2006-05-12 |
| 1174573372 | A. D. Miles & Associates, LLC | Optometrist | 4350 Mercer University Dr, Macon, GA 31206-4118 | 2006-05-11 |
| Find all providers in MACON | ||||
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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.