VILLA RICA EYE CARE (NPI# 1720215775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720215775 |
| Entity Type | Organization |
| Organization Name | VILLA RICA EYE CARE |
| Practice Address |
402 Courthouse Square Buchanan GA 30113 |
| Mailing Address |
104 S Carroll Rd Suite C Villa Rica GA 30180-2728 |
| Practice Telephone | 7706469100 |
| Practice Fax Number | 7706460007 |
| Mailing Telephone | 6789413357 |
| Mailing Fax Number | 6789413358 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | DR. CHRISTOPHER COOK (OWNER) |
| Authorized Official Telephone | 6789413357 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002396 | GA | Eye and Vision Services Providers |
| Street Address |
402 COURTHOUSE SQUARE |
| City | BUCHANAN |
| State | GA |
| Zip Code | 30113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215136296 | Christopher Evan Cook | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2007-07-11 |
| 1902005507 | Southern Optometrics, Inc | Optometrist | 402 Courthouse Square, Buchanan, GA 30113-0000 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386180 | Thomas Fraiser Rodger | Counselor | 123 Van Wert St., Buchanan, GA 30113 | 2012-04-27 |
| 1710244298 | Rhea Michelle Wojcik | Counselor | 123 Van Wert Street, Buchanan, GA 30113 | 2012-04-20 |
| 1518238179 | Kelly Foundation for Senior Living, Inc. | Assisted Living Facility | 4083 Business 27, Buchanan, GA 30113 | 2012-01-13 |
| 1558569590 | Solutions Community Services, Inc. | Community/Behavioral Health | 123 Van Wert St, Buchanan, GA 30113 | 2007-07-10 |
| 1053533984 | Crystal Holmes Hembree | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2007-05-02 |
| 1396829974 | Paul D Hague | Dentist | 3516 U.S. 27s, Buchanan, GA 30113 | 2006-10-24 |
| 1891745329 | Jim Cash Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 406 Carrollton St, Buchanan, GA 30113 | 2006-05-12 |
| 1497986558 | Erin Wurtz Everson | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2009-08-06 |
| 1750594719 | Thomas Jeff Large | Pharmacist | 406 Courthouse Square, Buchanan, GA 30113 | 2007-05-07 |
| 1083835946 | Patrick Manning Cook | Pharmacist | 406 Carrollton St, Buchanan, GA 30113 | 2007-05-01 |
| Find all providers in zip 30113 | ||||
| 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 |
|---|---|---|---|---|
| 1215136296 | Christopher Evan Cook | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2007-07-11 |
| 1851443956 | Drs Steven and Brenda Smoke Od PC | Optometrist | 400 E Front St, Suite A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1306998919 | Brenda Dani Smoke | Optometrist | 400 E Front St Ste A, Buchanan, MI 49107-1403 | 2007-01-17 |
| 1003848433 | Eugene George Benedict | Optometrist | 802 E Front St, Suite 2, Buchanan, MI 49107-1499 | 2006-07-07 |
| 1114961281 | Ernest Michael Polao | Optometrist | 3146 Albany Post Rd, Buchanan, NY 10511-1651 | 2006-06-16 |
| 1003368713 | Southwest Vision Center Inc. | Optometrist | 1045 E Front St, Suite B4, Buchanan, MI 49107-8474 | 2016-10-28 |
| 1275984908 | Adam Urbanski | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2016-06-23 |
| 1942448675 | Bradley P Mundy | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2009-02-03 |
| 1902005507 | Southern Optometrics, Inc | Optometrist | 402 Courthouse Square, Buchanan, GA 30113-0000 | 2007-07-13 |
| 1245382266 | Steven Alan Smoke | Optometrist | 400 E Front St, Ste A, Buchanan, MI 49107-1403 | 2007-01-18 |
| Find all providers in BUCHANAN | ||||
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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.