GAYTON HEALTH CENTRE (NPI# 1508889601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508889601 |
| Entity Type | Organization |
| Organization Name | GAYTON HEALTH CENTRE |
| Other Organization Name | EYESIGHT ASSOCIATES |
| Practice Address |
1011 N 4th St Cordele GA 31015 |
| Mailing Address |
216 Corder Rd Warner Robins GA 31088-3604 |
| Practice Telephone | 2292730435 |
| Practice Fax Number | 2292734665 |
| Mailing Telephone | 4789235872 |
| Mailing Fax Number | 4789229020 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | PATTY JONES (CREDENTIALING REP) |
| Authorized Official Telephone | 4789296272 |
| Is Organization Subpart | Y |
| Parent Organization Name | GAYTON HEALTH CENTRE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | GA | Eye and Vision Services Providers | |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| EYESIGHT ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1487677563 | Gayton Health Centre | Optometrist | 182 Perry House Rd, Suite G, Fitzgerald, GA 31750 | 2006-07-26 |
| 1801860796 | Gayton Health Centre | Optometrist | 216 Corder Rd, Warner Robins, GA 31088 | 2006-02-15 |
| 1376516567 | Gayton Health Centre | Specialist | 216 Corder Rd, Warner Robins, GA 31088 | 2006-02-09 |
| Street Address |
1011 N 4TH ST |
| City | CORDELE |
| State | GA |
| Zip Code | 31015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860099 | Mark L Bryant | Optometrist | 1011 N 4th St, Cordele, GA 31015 | 2005-06-13 |
| 1992709463 | Myron R Wilson | Ophthalmology | 1011 N 4th St, Cordele, GA 31015-3660 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780850503 | Cordele Optical Disp., Inc. | Eyewear Supplier (Equipment, not the service) | 716 E 16th Ave Ste G, Cordele, GA 31015-4517 | 2008-05-01 |
| 1790732717 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1215 E 16th Ave, Cordele, GA 31015-1543 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
| 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.