David Fierce OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001237 Issued in GA

Legal business name

DAVID FIERCE OD LLC

Practice address

415 Carl Ridge Dr NW
Kennesaw, GA 30152-5729

Phone

(770) 841-7339

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

David Fierce, OD

Title

Owner

Phone

(770) 841-7339

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1164710703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CARL RIDGE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CARL RIDGE DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525729",
            "telephone_number": "770-841-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FIERCE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "FIERCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-841-7339",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Dart, RD, LD
• Candice Cheryl Darville, MD
• Adriana Kathryn Dason
• Amanda Daugherty
• John Davanzo, RN
• David L Goettee D.D.S., P.C.
• Harley Alexander Davidson, D.C.
• Nicole Adriana Davidson, MD
• Andrea Davis
• Dianne Davis, LPN

• Optometrist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.