NPIMap

Organization Active NPI

Clear Sight Family Eyecare

  • Optometrist
  • Macon, GA
National Provider Identifier
1124384607
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2597 Issued in GA
Legal business name
CLEAR SIGHT FAMILY EYECARE
Practice address
1401 Gray Hwy
C/O Walmart Optical
Macon, GA 31211-1905
Phone
(478) 755-1295
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Michael Henry Leary, OD
Title
Owner
Phone
(478) 755-1295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2597 GA Primary

Addresses

Primary practice location

1401 Gray Hwy
C/O Walmart Optical
Macon, GA 31211-1905

Mailing address

1401 Gray Hwy
C/O Walmart Optical
Macon, GA 31211-1905
Phone (478) 755-1295

Other identifiers 1

IdentifierTypeStateIssuer
202I410811OtherGAMEDICARE

National Provider Directory

National Provider Directory

Locations

5448 Whittlesey Blvd
Ste B
Columbus, GA 31909
Phone (706) 225-5681

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1124384607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GRAY HWY",
            "address_2": "C/O WALMART OPTICAL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111905",
            "telephone_number": "478-755-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GRAY HWY",
            "address_2": "C/O WALMART OPTICAL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111905",
            "telephone_number": "478-755-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SIGHT FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-755-1295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I410811",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.