St Simons Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2311 Issued in GA

Legal business name

ST SIMONS EYE CARE, LLC

Practice address

110 Island Professional Park
St. Simons Island, GA 31522-2880

Phone

(912) 634-3444

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sara Phelps, O.D.

Title

Owner

Phone

(912) 230-6468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1154634400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ISLAND PROFESSIONAL PARK",
            "city": "ST. SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ISLAND PROFESSIONAL PARK",
            "city": "ST. SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222880",
            "telephone_number": "912-634-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST SIMONS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-230-6468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "41ZCGCV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Horace Stringfellow V, PT

• Optometrist in St. Simons Island, GA
• Providers in St. Simons Island, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.