Organization Active NPI

Chandler Morgan Eyeworks,LLC

  • Preferred Provider Organization
  • Americus, GA
National Provider Identifier
1083944771
Registry record updated Jan 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2315 Issued in GA
Legal business name
CHANDLER MORGAN EYEWORKS,LLC
Practice address
208 E Lamar St
Suite B
Americus, GA 31709-3694
Phone
(229) 924-9998
Fax
(229) 924-9991
NPI assigned
Jan 3, 2010
Last updated
Jan 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2010

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

Authorized official

Name
Dr. Robin Rae Chandler-Morgan, O.D.NPI 1215023809
Title
Member
Phone
(229) 591-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2315 GA Primary

Addresses

Primary practice location

208 E Lamar St
Suite B
Americus, GA 31709-3694

Mailing address

PO Box 1225
Americus, GA 31709-1225
Phone (229) 924-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100422000289 GA Part B Supplier - Clinic/Group Practice 2466589502 Receives reassigned benefits from 1 practitioner
Practice locations: Americus, GA

National Provider Directory

National Provider Directory

Locations

208 E Lamar St
Ste B
Americus, GA 31709
Phone (229) 924-2383

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1262476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262476800000",
    "number": "1083944771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317091225",
            "telephone_number": "229-924-9998",
            "fax_number": "229-924-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E LAMAR ST",
            "address_2": "SUITE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093694",
            "telephone_number": "229-924-9998",
            "fax_number": "229-924-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER MORGAN EYEWORKS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-03",
        "last_updated": "2010-01-03",
        "status": "A",
        "authorized_official_last_name": "CHANDLER-MORGAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "229-591-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; 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.