Superior Eyecare of Griffin

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUPERIOR EYECARE OF GRIFFIN

Practice address

1569 N Expressway
Griffin, GA 30223-1746

Phone

(770) 233-6860

NPI assigned

Apr 7, 2020

Last updated

Apr 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Malique Payne, O.D.

Title

Owner/ Optometrist

Phone

(917) 250-4468

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1003445412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231746",
            "telephone_number": "770-233-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 N EXPRESSWAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231746",
            "telephone_number": "770-233-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR EYECARE OF GRIFFIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MALIQUE",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "917-250-4468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Stroud
• Emily Stroup, LAPC
• Michael Todd Stuart
• Sunbridge Retirement Care Associates, LLC (Renaissance Care and Rehabilitation Center)
• Sunnyside Pediatrics
• Superior Eyecare of Madison Inc
• Surgical Clinic of Griffin-Spalding, P.C.
• Holly Sutton, LPN
• Lisa Swain, RN
• Leiv M Takle Jr., MD

• Optometrist in Griffin, GA
• Providers in Griffin, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.