Vision Eye Group Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VISION EYE GROUP OPTICAL

Practice address

4050 Riverside Dr
Macon, GA 31210-1805

Phone

(478) 743-2636

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Susan S Payne, L.D.O.

Title

Manager

Phone

(478) 743-2636

Specialties & licenses 1

Addresses

Other names 1

• First Look Opticians Inc Former legal business name

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1104469295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-743-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-743-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EYE GROUP OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-743-2636",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Look Opticians Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Macon, GA
• Providers in Macon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.