George a Dillard,O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GEORGE A DILLARD,O.D.,P.C.

Practice address

710 N Jefferson St
Albany, GA 31701-2361

Phone

(229) 439-8821

Fax

(229) 439-2627

NPI assigned

May 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. George A Dillard Sr., O.D.

Title

President/Owner

Phone

(229) 439-8821

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1073748810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012361",
            "telephone_number": "229-439-8821",
            "fax_number": "229-439-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012361",
            "telephone_number": "229-439-8821",
            "fax_number": "229-439-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A DILLARD,O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "229-439-8821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00342559A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.