DR. ANDREA ELIZABETH BETHEL (NPI# 1760589683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760589683 |
| Entity Type | Individual |
| Full Name | DR. ANDREA ELIZABETH BETHEL |
| Credential | O.D. |
| Practice Address |
984 Plant Dr Statesboro GA 30460 |
| Mailing Address |
984 Plant Drive Statesboro GA 30460-0001 |
| Practice Telephone | 9124783937 |
| Mailing Telephone | 5053315391 |
| Mailing Fax Number | 9124782537 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002314 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 576 | NM | Eye and Vision Services Providers |
| Street Address |
984 PLANT DR |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578861431 | Georgia Southern University Health Services Pharmacy | Pharmacy | 984 Plant Dr, Statesboro, GA 30460-0001 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1255575890 | Georgia Southern University School of Nursing Community Nursing Center | Clinic/Center | 250 Forrest Dr, Rm# 1004, Statesboro, GA 30460-0001 | 2009-04-27 |
| 1194924449 | Thomas Andrew Buckley | Specialist/Technologist | Georgia Southern University, Health & Kinesiology, Statesboro, GA 30460-0001 | 2007-07-17 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1376764340 | Brandy Anne Petty | Physical Medicine & Rehabilitation | Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
| Find all providers in zip 30460 | ||||
| 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 |
|---|---|---|---|---|
| 1033462965 | Eagle Eye Care | Optometrist | 98 Georgia Ave., Bldg 356, Statesboro, GA 30458 | 2012-10-16 |
| 1831389949 | Laircey Eye Services PC | Optometrist | 820 Hwy 80 E, Statesboro, GA 30461-0800 | 2007-07-26 |
| 1447286976 | Brent Coleman Laircey | Optometrist | 820 Us Highway 80 E, Statesboro, GA 30461-0800 | 2006-06-25 |
| 1376582916 | Christopher C Hinson | Optometrist | 420 Gentilly Pl, Statesboro, GA 30458-5144 | 2006-06-06 |
| 1386606374 | John Michael Porter | Optometrist | 360 Northside Dr E, Statesboro, GA 30458-4839 | 2006-04-05 |
| 1083675136 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2006-03-29 |
| 1558339135 | John Perry Hendrix | Optometrist | 730 Northside Dr E, Statesboro, GA 30458-4766 | 2006-03-09 |
| 1851373567 | Horace E Deal | Optometrist | 214 Savannah Ave, Statesboro, GA 30458-5165 | 2005-11-17 |
| 1366003410 | Dylan Piette | Optometrist | 214 Savannah Ave, Statesboro, GA 30458-5165 | 2019-06-27 |
| 1538720438 | Emily Champion | Optometrist | 147 Northside Dr E, Statesboro, GA 30458-4760 | 2019-06-22 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30460 |
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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.