NPIMap

Organization Active NPI

Eagle Eye Care

  • Optician
  • Statesboro, GA
National Provider Identifier
1033462965
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
001291 Issued in GA
Legal business name
EAGLE EYE CARE
Practice address
98 Georgia Ave., BLDG 356
Statesboro, GA 30458
Phone
(912) 478-3937
Fax
(912) 478-2537
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Mrs. Dianne Renee Hooks, LICENSED OPTICIAN
Title
Optician/ Manager
Phone
(912) 478-3937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001315 GA
Optician 156FX1800X 001291 GA Primary

Addresses

Primary practice location

98 Georgia Ave., BLDG 356
Statesboro, GA 30458

Mailing address

98 Georgia Ave., BLDG 356
Statesboro, GA 30458
Phone (912) 478-3937

National Provider Directory

National Provider Directory
Tax ID family
Georgia Southern University7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1033462965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GEORGIA AVE., BLDG 356",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-478-3937",
            "fax_number": "912-478-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GEORGIA AVE., BLDG 356",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-478-3937",
            "fax_number": "912-478-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OPTICIAN/ MANAGER",
        "authorized_official_telephone_number": "912-478-3937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001315",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "001291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.