DR. JAMES DERRYL THOMAS (NPI# 1427123405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427123405 |
| Entity Type | Individual |
| Full Name | DR. JAMES DERRYL THOMAS |
| Credential | O.D. |
| Practice Address |
198 Sw Broad St Jesup GA 31545-1101 |
| Practice Telephone | 9125306000 |
| Practice Fax Number | 9125306044 |
| Mailing Telephone | 9125306000 |
| Mailing Fax Number | 9125306044 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1256 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00461876D | 05 | |
| GA | 00461876B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597321 | James Michael Thomas | Marriage & Family Therapist | 3270 Liahona Way, Las Vegas, NV 89121-5714 | 2019-09-12 |
| 1881155893 | James Thomas | Student in an Organized Health Care Education/Training Program | 41 7th St, New Hyde Park, NY 11040-4132 | 2019-03-31 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1851811798 | James Thomas | Physical Therapy Assistant | 6045 Verde Trl S, Boca Raton, FL 33433-4402 | 2017-06-21 |
| 1104276138 | James Kevin Thomas | Specialist/Technologist | 109 Goose Creek Dr, Goose Creek, SC 29445-3224 | 2016-06-21 |
| 1972944908 | James Henry Thomas | Family Medicine | 7828 Se 170th Stonebrook Ln, The Villages, FL 32162-8369 | 2013-07-06 |
| 1003154964 | James Robert Thomas | Pharmacist | 3739 Nash St W, Wilson, NC 27896-1127 | 2013-01-27 |
| 1760789663 | James D Thomas | Contractor | 704 W Mack Ave, Olney, IL 62450-3700 | 2011-02-12 |
| 1780912683 | James Donald Thomas | Family Medicine | 9900 Balboa Blvd Ste E, Northridge, CA 91325-5419 | 2009-12-03 |
| 1831360643 | James William Thomas | Dentist | 44 Herkimer Rd, Utica, NY 13502-2310 | 2008-03-19 |
| Street Address |
198 SW BROAD ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386997013 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2012-10-18 |
| 1114060308 | Diane Bruce | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2007-02-15 |
| 1376610618 | American Eyecare Center of Jesup Inc | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| 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 |
|---|---|---|---|---|
| 1164661542 | Wayne Family Vision, P.C. | Optometrist | 125 W Cherry St, Jesup, GA 31545-1317 | 2009-02-09 |
| 1093778656 | Kreslyn Barron Odum | Optometrist | 420 W Cherry St, Jesup, GA 31545-1435 | 2006-04-06 |
| 1386997013 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2012-10-18 |
| 1508079179 | Kreslyn B Odum & Associates, PC | Optometrist | 420 W Cherry St, Jesup, GA 31545-1435 | 2007-05-08 |
| 1376610618 | American Eyecare Center of Jesup Inc | Optometrist | 198 Sw Broad St, Jesup, GA 31545-1101 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1437756459 | Atl Optical LLC | Optometrist | 9380 The Landing Dr Ste B, Douglasville, GA 30135-7177 | 2020-10-02 |
| 1831703289 | First Class Eye Care, LLC | Optometrist | 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097-8628 | 2020-09-03 |
| 1770196636 | Orbic Eye Care | Optometrist | 339 Furys Ferry Rd Ste 1, Martinez, GA 30907-3072 | 2020-08-28 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1629680830 | Mobile Medical Eye Care LLC | Optometrist | 110 Moseley Crossing Dr, Stockbridge, GA 30281-6501 | 2020-08-19 |
| 1376154963 | Family First Vision Care Georgia | Optometrist | 1401 Johnson Ferry Rd Ste 148b, Marietta, GA 30062-6499 | 2020-08-17 |
| 1740890284 | Woodstock Eye Associates LLC | Optometrist | 113 Lincoln St, Woodstock, GA 30188-7800 | 2020-08-07 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 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.