NPIMap

Organization Active NPI

Patricia Hanks OD PC

  • Optometrist
  • Fort Gordon, GA
National Provider Identifier
1023125572
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001250 Issued in GA
Legal business name
PATRICIA HANKS OD PC
Practice address
Fort Gordon Pxtra, BLDG. 35200
Optometry Center
Fort Gordon, GA 30905
Phone
(706) 771-9403
Fax
(706) 771-9167
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia Hanks, O.D.NPI 1497813877
Title
Owner/President
Phone
(706) 771-9403

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
Optometrist 152W00000X OPT001250 GA Primary

Addresses

Primary practice location

Fort Gordon Pxtra, BLDG. 35200
Optometry Center
Fort Gordon, GA 30905

Mailing address

Fort Gordon Pxtra, BLDG. 35200
Optometry Center
Fort Gordon, GA 30905
Phone (706) 771-9403

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023125572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORT GORDON PXTRA, BLDG. 35200",
            "address_2": "OPTOMETRY CENTER",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-771-9403",
            "fax_number": "706-771-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT GORDON PXTRA, BLDG. 35200",
            "address_2": "OPTOMETRY CENTER",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-771-9403",
            "fax_number": "706-771-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA HANKS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-771-9403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.