Dr.Gege Odion PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1402T Issued in GA

Legal business name

DR.GEGE ODION PC

Practice address

2801 Candler Rd
Suite 66
Decatur, GA 30034-1423

Phone

(404) 244-8787

Fax

(404) 241-2248

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gege Odion, O.D.NPI 1952370876

Title

Practice Director

Phone

(404) 244-8787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Gege Odion, O.D.

  • Optometrist
  • Decatur, GA
  • NPI 1952370876
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1174783252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CANDLER RD",
            "address_2": "SUITE 66",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341423",
            "telephone_number": "404-244-8787",
            "fax_number": "404-241-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CANDLER RD",
            "address_2": "SUITE 66",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341423",
            "telephone_number": "404-244-8787",
            "fax_number": "404-241-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.GEGE ODION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ODION",
        "authorized_official_first_name": "GEGE",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "404-244-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1402T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.