NPIMap

Organization Active NPI

Optometry Associates, PC

  • Optometrist
  • Vidalia, GA
National Provider Identifier
1043385172
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001073 Issued in GA
Legal business name
OPTOMETRY ASSOCIATES, PC
Practice address
300 Durden St
Vidalia, GA 30474-4606
Phone
(912) 537-4447
Fax
(912) 537-2743
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mrs. Lyn Brown Oxley, ODNPI 1073688115
Title
Owner
Phone
(912) 537-4447

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001073 GA Primary

Addresses

Primary practice location

300 Durden St
Vidalia, GA 30474-4606

Mailing address

PO Box 406
Vidalia, GA 30475-0406
Phone (912) 537-4447

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1043385172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750406",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DURDEN ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744606",
            "telephone_number": "912-537-4447",
            "fax_number": "912-537-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "OXLEY",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-537-4447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.