Crescent Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CRESCENT EYE CARE LLC

Practice address

673 W Washington St
Monticello, GA 31064-1371

Phone

(706) 468-8598

NPI assigned

May 1, 2025

Organization subpart

No

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

Authorized official

Name

Jarvis D Johnson, ODNPI 1447627815

Title

Optometrist

Phone

(478) 233-0869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Jarvis Johnson

  • Optometrist
  • Monticello, GA
  • NPI 1447627815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1053100578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CRESCENT DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310295464",
            "telephone_number": "478-233-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641371",
            "telephone_number": "706-468-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "478-233-0869",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye D Camp, PT
• Cardiac Disease Specialists, PC
• Drew Carroll, APC
• Chumani Personal Care Home LLC
• County of Jasper Health Department
• Robert A Cumbie, PHARM.D
• Edgewood of Monticello
• Bobbie Rena Ellis, CNA
• Anastasia Murphy Espiau, FNP
• Myrna Cagalawan Faraon, PHARMACIST

• Optometrist in Monticello, GA
• Providers in Monticello, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.