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Ga Doctors of Optometry LLC

Organization Active NPI Eyewear Supplier · Columbus, GA

NPI 1013599745 · NPPES record last updated Apr 22, 2021

Key facts

NPI
1013599745
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
GA DOCTORS OF OPTOMETRY LLC
Practice address
6783 Veterans Pkwy Ste 100
Columbus, GA 31909-3284
Phone
(706) 323-0260
Fax
(706) 323-0261
NPI assigned
Apr 22, 2021
Organization subpart
No

Authorized official

Name
Matthew Marsich, OD
Title
Owner
Phone
(726) 444-4078

Practitioners 70

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

View all 70

National Provider Directory

Locations

1810 Cumming Hwy
Spc F1010
Canton, GA 30115
Phone (770) 704-9666

1530 Market Place Blvd
Ste D
Cumming, GA 30041
Phone (678) 513-8541

2131 Pleasant Hill Rd
Ste 1520
Duluth, GA 30096
Phone (678) 475-0500

300 Ashwood Pkwy
Ste 720
Dunwoody, GA 30338
Phone (470) 610-2668

400 Ernest W Barrett Pkwy NW
Ste 21
Kennesaw, GA 30144
Phone (770) 429-1660

5080 Riverside Dr
Ste 326
Macon, GA 31210
Phone (478) 477-0323

1862 Jonesboro Rd
McDonough, GA 30253
Phone (678) 432-1584

13065 Highway 9 N
Ste 120
Milton, GA 30004
Phone (470) 617-9994

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

6783 Veterans Pkwy Ste 100
Columbus, GA 31909-3284

Mailing address

175 E Houston St
San Antonio, TX 78205-2255
Phone (726) 444-4078

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 22, 2021.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1013599745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "726-444-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6783 VETERANS PKWY STE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093284",
            "telephone_number": "706-323-0260",
            "fax_number": "706-323-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA DOCTORS OF OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MARSICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-444-4078",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

All providers in Columbus, GA · Eyewear Supplier in Georgia

Sources for this page

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