MRS. STACY U CARSON (NPI# 1871530964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871530964 |
| Entity Type | Individual |
| Full Name | MRS. STACY U CARSON |
| Other Name | MS. STACY R UNDERWOOD |
| Credential | O. D. |
| Practice Address |
805 Commerce Dr Sw Suite A Conyers GA 30094-6606 |
| Practice Telephone | 7704834831 |
| Practice Fax Number | 7704834840 |
| Mailing Telephone | 7704834831 |
| Mailing Fax Number | 7704834840 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1622 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUECROSS BLUESHIELD | 52718823001 | 01 |
| RAILROAD MEDICARE | 410036767 | 01 | |
| GA | AETNA | 5801653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366793036 | Stacy Carson | Licensed Practical Nurse | 3995 S 92nd St, Greenfield, WI 53228-2100 | 2012-09-21 |
| Street Address |
805 COMMERCE DR SW SUITE A |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447387774 | T. T Underwood, Inc. | Optometrist | 805 Commerce Dr Sw, Suite A, Conyers, GA 30094-6606 | 2007-02-27 |
| 1881729788 | Terrell Thompson Underwood | Technician/Technologist | 805 Commerce Dr Sw, Suite A, Conyers, GA 30094-6606 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| 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 |
|---|---|---|---|---|
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1457511149 | R Wayne Baker Od PC | Optometrist | 1455aold Mc Donough Rd, Conyers, GA 30094-5979 | 2008-06-16 |
| 1811024045 | East Georgia Eyecare LLC | Optometrist | 1192 Dogwood Dr., Conyers, GA 30012-5454 | 2007-02-27 |
| 1467524090 | Eastmetro Eyecare P.C. | Optometrist | 1013 E Freeway Dr Se, Conyers, GA 30094-5965 | 2006-11-15 |
| 1629163928 | Paige Bush Foster | Optometrist | 1013 East Freeway Drive, Conyers, GA 30094 | 2006-10-03 |
| 1528163045 | William Patrick Parks | Optometrist | 1192 Dogwood Drive Sw, Conyers, GA 30012-5454 | 2006-09-13 |
| 1669583563 | R. Wayne Baker | Optometrist | 1455a Old Mcdonough Rd.se, Conyers, GA 30094-5979 | 2006-08-31 |
| 1770543720 | David L Grosswald | Optometrist | 1192 Dogwood Drive, Conyers, GA 30012-5454 | 2006-03-24 |
| 1699239525 | Menae Miller, O.d., P.C. | Optometrist | 1436 Dogwood Dr Se, Conyers, GA 30013-5091 | 2019-01-24 |
| Find all providers in CONYERS | ||||
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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.