Chad Edgar Poole, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002307 Issued in GA

Practice address

850 Gaines School Rd
Athens, GA 30605-3132

Phone

(706) 850-7101

Fax

(706) 850-7089

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Russell D. Springer PCGroup PAC ID 5698987790, 5 clinicians

East Athens Family Vision LLCGroup PAC ID 0244643211, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
• Direct secure messaging: chadpoole@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Athens Family Vision, LLC

  • Optometrist
  • Athens, GA
  • NPI 1639775588
  Medicare reassignment Care Compare group NPD
• Russell D Springer PC

  dba Athens Family Vision Clinic

  • Optometrist
  • Athens, GA
  • NPI 1841593175
  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Georgia Inc

  dba Clarkson Eyecare

  • Optometrist
  • Alpharetta, GA
  • NPI 1184802670
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  dba Holmes County Hospital and Clinic

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1053337154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 GAINES SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053132",
            "telephone_number": "706-850-7101",
            "fax_number": "706-850-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GAINES SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053132",
            "telephone_number": "706-850-7101",
            "fax_number": "706-850-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Hawthorne Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062881",
            "country_code": "US",
            "telephone_number": "706-543-3599",
            "fax_number": "706-543-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CHAD",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109146C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferdos Khan Pohlel, M.D.
• Paola Polanco Rosario, MD
• Jon S Poling, M.D.
• Bayleigh Polizzi, APRN
• Emily Gayle Pollack, BCBA
• Joseph Poole, M.D., PH.D.
• Flavia Maria Popescu, DMD
• Sai Sree Popuri, MBBS
• Andrew P Porter, PA
• Portsbridge Hospice

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.