MYEYEDR OPTOMETRY OF GEORGIA, LLC (NPI# 1669642435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669642435 |
| Entity Type | Organization |
| Organization Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Practice Address |
2003 Commerce Dr Kingsland GA 31548-6767 |
| Mailing Address |
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990 |
| Practice Telephone | 9128823040 |
| Practice Fax Number | 9128823786 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 7039910514 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MRS. SUE HEALEY (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1386112167 | Myeyedr Optometry of Georgia, LLC | Optometrist | 7203 Hodgson Memorial Dr Ste A, Savannah, GA 31406-1525 | 2018-11-09 |
| 1770033383 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15043 Us Highway 19 S, Thomasville, GA 31792-4869 | 2016-10-06 |
| 1164549366 | Myeyedr Optometry of Georgia, LLC | Optometrist | 14045 Abercorn St Ste 31, Savannah Mall, Savannah, GA 31419-1978 | 2007-03-23 |
| 1083675136 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2006-03-29 |
| 1689657322 | Myeyedr Optometry of Georgia, LLC | Optometrist | 503 Furys Ferry Rd, Martinez, GA 30907-9059 | 2005-11-28 |
| 1427617042 | Myeyedr Optometry of Georgia, LLC | Optometrist | 109 12th St, Columbus, GA 31901-5245 | 2019-06-07 |
| 1093289084 | Myeyedr Optometry of Georgia, LLC | Optometrist | 4521 17th Ave, Columbus, GA 31904-6344 | 2019-01-14 |
| 1881175339 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1415 Wooten Lake Rd Nw Ste 100, Kennesaw, GA 30144-1342 | 2018-08-23 |
| 1275036154 | Myeyedr Optometry of Georgia, LLC | Optometrist | 2120 Highway 76, Chatsworth, GA 30705-7302 | 2018-03-16 |
| Street Address |
2003 COMMERCE DR |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063601128 | Patricia Anderson | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2007-10-15 |
| 1437522364 | Katie Boeskool | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2015-10-30 |
| 1013349745 | Anthony Arthur Weaver | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| 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 |
|---|---|---|---|---|
| 1568721413 | Robert Houghteling, O.d., P.C. | Optometrist | 1601 Hwy 40 E, Suite N, Kingsland, GA 31548-6500 | 2012-05-14 |
| 1063601128 | Patricia Anderson | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2007-10-15 |
| 1831257047 | Robert Houghteling | Optometrist | 1601 Ga Highway 40 E Ste N, Kingsland, GA 31548-6501 | 2006-12-04 |
| 1457314320 | Julie Ann Wright | Optometrist | 1891 Ga Highway 40 E, Suite 1108, Kingsland, GA 31548-6527 | 2006-04-10 |
| 1437522364 | Katie Boeskool | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2015-10-30 |
| 1013349745 | Anthony Arthur Weaver | Optometrist | 2003 Commerce Dr, Kingsland, GA 31548-6767 | 2013-08-05 |
| 1780773697 | Wright Eye Care, P.C. | Optometrist | 1891 Ga Highway 40 E, Suite 1108, Kingsland, GA 31548-6572 | 2006-10-11 |
| 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.