TED A MCELROY OD, PC (NPI# 1578630794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578630794 |
| Entity Type | Organization |
| Organization Name | TED A MCELROY OD, PC |
| Other Organization Name | VISION SOURCE TIFTON |
| Practice Address |
2012 Pineview Ave Tifton GA 31794-3035 |
| Mailing Address |
Po Box 1186 Tifton GA 31793-1186 |
| Practice Telephone | 2293824765 |
| Practice Fax Number | 2293824819 |
| Mailing Telephone | 2293824765 |
| Mailing Fax Number | 2293824819 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | DR. TED A MCELROY (PRESIDENT) |
| Authorized Official Telephone | 2293824765 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | GA1397 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE RAILROAD | 410029773 | 01 |
| GA | 300031267A | 05 |
| Other Name | Type Code |
|---|---|
| Vision Source Tifton | Doing Business As Name - Organization |
| Street Address |
2012 PINEVIEW AVE |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959352 | Ted A Mcelroy | Optometrist | 2012 Pineview Ave, Tifton, GA 31794-3035 | 2005-08-18 |
| 1073004602 | Julia Danielle Harrison | Optometrist | 2012 Pineview Ave, Tifton, GA 31794 | 2018-05-18 |
| 1164506390 | Janine Tran Nguyen | Optometrist | 2012 Pineview Ave, Tifton, GA 31794-3035 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| 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 |
|---|---|---|---|---|
| 1508047408 | Michael J Garner Od PC | Optometrist | 1830 Hwy 82 W, Tifton, GA 31793-8164 | 2007-11-19 |
| 1518959352 | Ted A Mcelroy | Optometrist | 2012 Pineview Ave, Tifton, GA 31794-3035 | 2005-08-18 |
| 1073004602 | Julia Danielle Harrison | Optometrist | 2012 Pineview Ave, Tifton, GA 31794 | 2018-05-18 |
| 1972987394 | Anna Makenzie Baker | Optometrist | 211 Love Ave, Tifton, GA 31794-4453 | 2015-07-15 |
| 1093077984 | South Georgia Eye Partners | Optometrist | 416 Tift Ave N, Tifton, GA 31794-4466 | 2012-06-15 |
| 1477874253 | South Georgia Eye Partners PC | Optometrist | 416 Tift Ave N, Tifton, GA 31794-4466 | 2010-06-16 |
| 1164506390 | Janine Tran Nguyen | Optometrist | 2012 Pineview Ave, Tifton, GA 31794-3035 | 2006-10-24 |
| 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.