Denise Q Shepard

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DENISE Q SHEPARD

Practice address

1895 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4021

Phone

(706) 861-7166

Fax

(706) 861-1799

NPI assigned

Sep 12, 2018

Last updated

Sep 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candy K Housley

Title

Office

Phone

(706) 861-7166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1114400553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424021",
            "telephone_number": "706-861-7166",
            "fax_number": "706-861-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424021",
            "telephone_number": "706-861-7166",
            "fax_number": "706-861-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE Q SHEPARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "HOUSLEY",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "706-861-7166"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.