DR. ALTON L PROVOST (NPI# 1407027063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407027063 |
| Entity Type | Individual |
| Full Name | DR. ALTON L PROVOST |
| Credential | D.O |
| Practice Address |
1311 W Spring St Monroe GA 30655-1758 |
| Practice Telephone | 7702677824 |
| Practice Fax Number | 7702070072 |
| Mailing Telephone | 7702677824 |
| Mailing Fax Number | 7702070072 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2009-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0832 | GA | Eye and Vision Services Providers |
| Street Address |
1311 W SPRING ST |
| City | MONROE |
| State | GA |
| Zip Code | 30655-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237086 | Norman A Nicholas | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2005-12-26 |
| 1851801286 | Georgia Ophthalmologists LLC | Optometrist | 1311 W Spring St, Monroe, GA 30655-1758 | 2017-10-12 |
| 1578618690 | Monroe Optical, Inc. | Technician/Technologist | 1311 W Spring St, Monroe, GA 30655-1758 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| 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 |
|---|---|---|---|---|
| 1881178234 | Kasayla Fe Kuzmic | Optometrist | 1253 N Raisinville Rd, Monroe, MI 48162-9666 | 2018-09-21 |
| 1639606700 | Ashley M O'dwyer | Optometrist | 750 Stewart Rd Ste 2, Monroe, MI 48162-4279 | 2017-05-18 |
| 1104219039 | Stateline Vision Center LLC | Optometrist | 250 N 18th Ave Ste 105, Monroe, WI 53566-1482 | 2015-03-17 |
| 1235539255 | Envision Eye Care Inc | Optometrist | 1 Preshburg Blvd, Unit 001, Monroe, NY 10950 | 2014-08-27 |
| 1700207511 | Sita Patel | Optometrist | 1007 Skyway Dr Ste A, Monroe, NC 28110-3051 | 2013-12-20 |
| 1740541796 | Whitney Presto White | Optometrist | 907 Regents Park Dr, Monroe, MI 48161-9761 | 2012-06-06 |
| 1386811404 | Idaho Falls Vision Center Chartered | Optometrist | 20231 209th Ave Se, Monroe, WA 98272-9371 | 2008-05-08 |
| 1700059656 | Dr. Michael J. Haynes A Professional Corporation | Optometrist | 2808 Forsythe Avenue, Monroe, LA 71201-3008 | 2008-04-10 |
| 1609065077 | Jason B Berkebile | Optometrist | 1976 Wellness Blvd, Monroe, NC 28110 | 2007-10-22 |
| 1871788562 | P-cor, LLC | Optometrist | 504 N Telegraph Rd, Monroe, MI 48162 | 2007-09-06 |
| Find all providers in MONROE | ||||
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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.