ELYSE BANISTER (NPI# 1912389891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912389891 |
| Entity Type | Individual |
| Full Name | ELYSE BANISTER |
| Credential | O.D. |
| Practice Address |
5566 Thomaston Rd Macon GA 31220-8118 |
| Practice Telephone | 8005955229 |
| Practice Fax Number | 4784768161 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT003042 | GA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OEG003056 | PA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10000 Bay Pines Blvd, 106, Bay Pines, FL 337448200 | 7273986661 |
| Street Address |
5566 THOMASTON RD |
| City | MACON |
| State | GA |
| Zip Code | 31220-8118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1215599667 | Kevin Nguyen | Optometrist | 5566 Thomaston Rd, Macon, GA 31220-8118 | 2019-07-07 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| 1598124380 | Jessica Lynn | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-02-22 |
| 1306009444 | Judy Lynn Hastings | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2008-07-09 |
| Find all providers in zip 31220 | ||||
| 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 |
|---|---|---|---|---|
| 1487289609 | National Vision Inc | Optometrist | 1401 Gray Hwy Ste 700, Macon, GA 31211-1905 | 2020-03-09 |
| 1649802430 | National Vision Inc | Optometrist | 1625 Bass Rd Ste 270, Macon, GA 31210-6580 | 2020-02-10 |
| 1396229340 | Pamela Denise Earls | Optometrist | 101 Westchester Dr, Macon, GA 31210-7536 | 2018-09-15 |
| 1659780310 | King Family Eye Care,llc | Optometrist | 1005 Underwood Dr, Macon, GA 31210-3332 | 2014-08-07 |
| 1396968566 | Russell Chambless | Optometrist | 3353 Mercer University Dr, Macon, GA 31204-5082 | 2007-04-10 |
| 1700922242 | David K Murnan | Optometrist | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2007-01-30 |
| 1013093681 | Vision Care Associates, LLC | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2006-10-27 |
| 1841301686 | William Alan Schobel Sr. | Optometrist | 1376 Gray Highway, Downtown Opticians, Macon, GA 31211 | 2006-08-31 |
| 1063463487 | A Miles and Associates Inc | Optometrist | 3075 Vineville Ave, Macon, GA 31204-2460 | 2006-05-12 |
| 1174573372 | A. D. Miles & Associates, LLC | Optometrist | 4350 Mercer University Dr, Macon, GA 31206-4118 | 2006-05-11 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on ELYSE BANISTER.
| 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.