Hoss Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003026 Issued in GA

Legal business name

HOSS EYECARE, P.C.

Doing business as

Hoss Eyecare, P.C.

Practice address

500 E Alice St
Bainbridge, GA 39819-4998

Phone

(630) 485-1369

NPI assigned

Oct 9, 2017

Last updated

Oct 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew JacobsNPI 1023538196

Title

Provider

Phone

(630) 485-1369

Specialties & licenses 1

Addresses

Other names 1

• Hoss Eyecare, P.C. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Jacobs

  • Optometrist
  • Bainbridge, GA
  • NPI 1023538196
  Authorized official Same address or phone

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1184134744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 FRED GEORGE RD APT 704",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ALICE ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194998",
            "telephone_number": "630-485-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSS EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "630-485-1369"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoss Eyecare, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.