LAIRCEY EYE SERVICES PC (NPI# 1831389949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831389949 |
| Entity Type | Organization |
| Organization Name | LAIRCEY EYE SERVICES PC |
| Practice Address |
820 Hwy 80 E Statesboro GA 30461-0800 |
| Practice Telephone | 9124893937 |
| Mailing Telephone | 9124893937 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | BRENT C LAIRCEY (PRESIDENT) |
| Authorized Official Telephone | 9124893937 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT 002175 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE GROUP | DD3540 | 01 |
| GA | MEDICARE GROUP | GRP6825 | 01 |
| GA | RR MEDICARE INDIVIDUAL | P00223010 | 01 |
| Street Address |
820 HWY 80 E |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1356619613 | Statesboro Ambulatory Surgery Center, Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2011-12-01 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| Find all providers in zip 30461 | ||||
| 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 |
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 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 | 30461 |
Please comment or provide details below to improve the information on LAIRCEY EYE SERVICES PC.
| 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.