S P D Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001503 Issued in GA

Legal business name

S P D OPTICAL INC

Doing business as

AMERICAN VISION CENTER

Practice address

3700 Atlanta Hwy
Athens, GA 30606-7201

Phone

(706) 543-7925

Fax

(706) 546-9025

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Philip Friedland, LDO

Title

Owner

Phone

(706) 543-7925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMERICAN VISION CENTER Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1124189113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067201",
            "telephone_number": "706-543-7925",
            "fax_number": "706-546-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S P D OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-7925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "001503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0234640002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Ryan
• David Steven Ryan, MD
• Bryan Scott Ryles, PH.D.
• Lauren Smith Ryther, PT, DPT, ATC
• S and S Home Care LLC
• Julia Sacha, CNM, RN
• Mehak Sachdeva, M.B.B.S
• Patsy Sailors-Mathews, RN
• Joshua Sailors
• Juan G Salazar Castillo, MD

• Eyewear Supplier in Athens, GA
• Providers in Athens, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.