Athens Vision Centers, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ATHENS VISION CENTERS, LLC

Doing business as

Athens Eye Doctors and Surgeons,LLC

Practice address

17 S Thomas St
Elberton, GA 30635-2453

Phone

(706) 549-9993

Fax

(706) 549-4047

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

KELLER, CRYMES, & DEMARCO LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Henry Bo Dalton

Title

Administrator

Phone

(706) 433-2031

Specialties & licenses 1

Addresses

Other names 1

• Athens Eye Doctors and Surgeons,LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Athens Eye Doctors and Surgeons LLC2 organizations share this tax ID, including this one

Part of

Keller Crymes Demarco LL

Other organizations with this tax ID 1

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

• Athens Vision Centers, LLC

  dba Athens Eye Doctors and Surgeons, LLC

  • Optometrist
  • Elberton, GA
  • NPI 1972205136
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Keller Crymes & Demarco LLC

  dba Keller Optical

  • Eyewear Supplier
  • Athens, GA
  • NPI 1790907277

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Keller Crymes & Demarco LLC

  dba Keller Optical

  • Eyewear Supplier
  • Athens, GA
  • NPI 1790907277
  NPPES parent name

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.

• Walter A Sams IV, MD

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1417179268
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1033811104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072112",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S THOMAS ST",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306352453",
            "telephone_number": "706-549-9993",
            "fax_number": "706-549-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS VISION CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELLER, CRYMES, & DEMARCO LLC",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "JOHN HENRY",
        "authorized_official_middle_name": "BO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-433-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Eye Doctors and Surgeons,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Elberton, GA
• Providers in Elberton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.