Active NPI
Eye Site of Buford, Inc.
- Eyewear Supplier
- Buford, GA
National Provider Identifier
1073505053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- GA1214
- Legal business name
- EYE SITE OF BUFORD, INC.
- Practice address
- 4420 Nelson Brogdon Blvd
Buford, GA 30518-3477 - Phone
- (770) 932-9656
- Fax
- (770) 932-6606
- NPI assigned
- Aug 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond D Rupured Jr.
- Title
- C Fo
- Phone
- (770) 932-9656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | GA1214 | GA | Primary |
Addresses
Primary practice location
4420 Nelson Brogdon Blvd
Buford, GA 30518-3477
Mailing address
4420 Nelson Brogdon Blvd
Buford, GA 30518-3477
Phone (770) 932-9656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Buford, GA
- NPI 1649342239
-
- Optometrist
- Cumming, GA
- NPI 1578608717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1073505053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 NELSON BROGDON BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305183477",
"telephone_number": "770-932-9656",
"fax_number": "770-932-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 NELSON BROGDON BLVD",
"city": "BUFORD",
"state": "GA",
"postal_code": "305183477",
"telephone_number": "770-932-9656",
"fax_number": "770-932-6606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SITE OF BUFORD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "RUPURED",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "C FO",
"authorized_official_telephone_number": "770-932-9656",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "GA",
"license": "GA1214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.