Organization Active NPI

Lindsay Optical

  • Optician
  • Douglas, GA
National Provider Identifier
1073736195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001756 Issued in GA
Legal business name
LINDSAY OPTICAL
Practice address
316 Gaskin Ave S
Douglas, GA 31533-0015
Phone
(912) 393-3937
Fax
(912) 393-3944
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tina Miranda Carver, LDO
Title
Owner Optical
Phone
(912) 393-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X LDO001756 GA Primary

Addresses

Primary practice location

316 Gaskin Ave S
Douglas, GA 31533-0015

Mailing address

316 Gaskin Ave S
Douglas, GA 31533-0015
Phone (912) 393-3937

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073736195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GASKIN AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315330015",
            "telephone_number": "912-393-3937",
            "fax_number": "912-393-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 GASKIN AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315330015",
            "telephone_number": "912-393-3937",
            "fax_number": "912-393-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER OPTICAL",
        "authorized_official_telephone_number": "912-393-3937",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.