Active NPI
Myeyedr Optometry of Georgia, LLC
Doing business as MyEyeDr.
- Optometrist
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF GEORGIA, LLC
- Doing business as
- MyEyeDr.
- Practice address
- 1014 Northside Dr E
Statesboro, GA 30458-1002 - Phone
- (912) 764-9147
- Fax
- (912) 764-7219
- NPI assigned
- Mar 29, 2006
- Last updated
- Apr 28, 2025
- 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
- Mrs. Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1014 Northside Dr E
Statesboro, GA 30458-1002
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0537440002 | Other | GA | CIGNA GOV'T SERVICES |
Other names 1
- MyEyeDr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040413001044 | GA | Part B Supplier - Clinic/Group Practice | 6305830274 |
Receives reassigned benefits from 1 practitioner 4 other NPIs on this enrollment Practice locations: Savannah, GA; Statesboro, GA; Rincon, GA; Kingsland, GA; Dublin, GA; Brunswick, GA |
| O20140428000739 | GA | Part B Supplier - Clinic/Group Practice | 8224261201 |
Receives reassigned benefits from 207 practitioners This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MyEyeDr.
- Optometrist
- Brunswick, GA
- NPI 1043355605
O20040413001044
-
dba MyEyeDr.
- Optometrist
- Savannah, GA
- NPI 1164549366
O20040413001044
-
dba MyEyeDr.
- Optometrist
- Rincon, GA
- NPI 1437294592
O20040413001044
-
dba MyEyeDr.
- Optometrist
- Kingsland, GA
- NPI 1669642435
O20040413001044
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2322856 | Myeyedr Optometry of Georgia, LLC | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
156 Mall Blvd
Brunswick, GA 31525
Phone (912) 554-0010
2003 Commerce Dr
Kingsland, GA 31548
Phone (912) 882-3040
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Optometrist
- Statesboro, GA
- NPI 1386606374
-
- Optometrist
- Statesboro, GA
- NPI 1467835066
-
- Optometrist
- Atlanta, GA
- NPI 1447850466
-
- Optometrist
- Dublin, GA
- NPI 1881276095
-
- Optometrist
- Statesboro, GA
- NPI 1861408817
-
- Optometrist
- Statesboro, GA
- NPI 1457443277
-
- Optometrist
- Statesboro, GA
- NPI 1346216546
-
- Optometrist
- Texarkana, TX
- NPI 1588382725
-
- Optometrist
- East Brunswick, NJ
- NPI 1811207608
-
- Optometrist
- Vestavia Hills, AL
- NPI 1053429365
-
- Optometrist
- Hoboken, NJ
- NPI 1912361544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1083675136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581002",
"telephone_number": "912-764-9147",
"fax_number": "912-764-7219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOV'T SERVICES",
"identifier": "0537440002",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MyEyeDr.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.