Suzanne Kimmons, OD, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

T1164 Issued in GA

Legal business name

SUZANNE KIMMONS, OD, PC

Practice address

6628 Highway 53 E
Dawsonville, GA 30534-6806

Phone

(706) 216-7732

Fax

(706) 216-7733

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Kimmons-Doty, OD

Title

Optometrist

Phone

(706) 216-7732

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeung Hyoun Kim, OD

  • Optometrist
  • Dawsonville, GA
  • NPI 1205128360
  NPD (past)
• Michael Connell, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1447669635
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1013196377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346806",
            "telephone_number": "706-216-7732",
            "fax_number": "706-216-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346806",
            "telephone_number": "706-216-7732",
            "fax_number": "706-216-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE KIMMONS, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "KIMMONS-DOTY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "706-216-7732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "T1164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4825",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Thomas Steed, PT
• Laura Marie Stefanic, DNP, ARNP
• Sabrina Stich
• Jennifer Hudgins Stowe, PHARMD
• Summit Therapeutics, LLC
• Jessica Parker Svenson, M.A. CCC-SLP
• Sarah Swann
• Sweat Therapy Solutions LLC
• Staci Harwell Tebbetts, OD
• The Interventional Spine and Pain Management Center, PC

• Eyewear Supplier in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.