NPIMap

Organization Active NPI

Vision Eye Group

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1013471721
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VISION EYE GROUP
Practice address
4050 Riverside Dr
Macon, GA 31210-1805
Phone
(478) 744-1710
NPI assigned
Jan 27, 2019
Last updated
Dec 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Authorized official

Name
Dr. David Wesley Boone, DONPI 1093798753
Title
Managing Director
Phone
(812) 243-7468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

4050 Riverside Dr
Macon, GA 31210-1805

Mailing address

4050 Riverside Dr
Macon, GA 31210-1805
Phone (812) 243-7468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190402000861 GA Part B Supplier - Clinic/Group Practice 0345581229 Receives reassigned benefits from 9 practitioners
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702684800000",
    "number": "1013471721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "812-243-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-744-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EYE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-27",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "812-243-7468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.