John D Roberts MDPC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

047253 Issued in GA

Legal business name

JOHN D ROBERTS MDPC

Doing business as

Plaza Optical

Practice address

917 Plaza Ave
Eastman, GA 31023-6759

Phone

(478) 374-9767

Fax

(478) 374-9769

NPI assigned

Nov 28, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer A Roberts

Title

Manager

Phone

(478) 374-9767

Specialties & licenses 1

Addresses

Other names 1

• Plaza Optical Doing business as

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, and the practitioner matching its NPPES authorized official.

• John D Roberts, MD

  • Ophthalmology Physician
  • Eastman, GA
  • NPI 1932294170
  Medicare reassignment NPD

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1063694412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236759",
            "telephone_number": "478-374-9767",
            "fax_number": "478-374-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236759",
            "telephone_number": "478-374-9767",
            "fax_number": "478-374-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D ROBERTS MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-374-9767"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "047253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Crawford Hussey
• I V Care of Middle Georgia Inc (I V Care Options)
• Jomari Jackson, DDS
• James H Tison MD PC
• John a. Glenn Jr. Center for Community Healthcare Inc.
• Charity Rena Joiner
• Mary Shayne Jones, COTA/L
• Paula Atrice Jones, OTR
• Jaime Josey
• Michael A. Knight Sr., D.D.S.

• Eyewear Supplier in Eastman, GA
• Providers in Eastman, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.