Christie Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHRISTIE EYE CARE

Practice address

198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088-6473

Phone

(478) 971-1500

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dudley Christie Jr., OD

Title

Owner

Phone

(478) 971-1500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Christie Eye Care Former legal business name

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1093839474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S HOUSTON LAKE RD",
            "address_2": "STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886473",
            "telephone_number": "478-971-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S HOUSTON LAKE RD",
            "address_2": "STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886473",
            "telephone_number": "478-971-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-971-1500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "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": "00055767F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00055767G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00055767E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Logan Childs
• John Raymond Chipley Jr., MD
• Chiropractic Care & Rehabilitation, LLC
• Hansol Choi
• Fleurette Chong, MD
• Megan Brooke Chumbley, PHARMD, RPH
• Clara Braswell LPC
• Brandi Carroll Clark, PHARM.D.
• Jamia Clark, RBT
• Melvina L Clark, LMSW

• Optometrist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.