Organization Active NPI

American Eye Care LLC

  • Optometrist
  • Columbus, GA
National Provider Identifier
1154422152
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMERICAN EYE CARE LLC
Practice address
6490 Veterans Parkway
Columbus, GA 31909-3567
Phone
(706) 653-6202
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kenneth Dale Hopkins
Title
President Owner
Phone
(706) 653-6202

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000426 GA Part B Supplier - Clinic/Group Practice 3072426634 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

4025 Victory Dr
Ste B
Columbus, GA 31903
Phone (706) 689-6384

1403 Warm Springs Rd
Ste D
Columbus, GA 31904
Phone (706) 323-3652

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6490 Veterans Parkway
Columbus, GA 31909-3567

Mailing address

6490 Veterans Pkwy
Columbus, GA 31909-3567
Phone (706) 653-6202

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
055003136AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2008.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1154422152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093567",
            "telephone_number": "706-653-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 VETERANS PARKWAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093567",
            "telephone_number": "706-653-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "706-653-6202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055003136A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.