NPIMap

Organization Active NPI

Southern Eyecare Inc

  • Eyewear Supplier
  • Savannah, GA
National Provider Identifier
1184704785
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1130 Issued in GA
Legal business name
SOUTHERN EYECARE INC
Practice address
415 Eisenhower Dr
Suite 4
Savannah, GA 31406-2633
Phone
(912) 352-3997
NPI assigned
Oct 17, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. John David Parker, L.D.O
Title
Optician
Phone
(912) 352-3997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1130 GA Primary

Addresses

Primary practice location

415 Eisenhower Dr
Suite 4
Savannah, GA 31406-2633

Mailing address

415 Eisenhower Dr Ste 4
Savannah, GA 31406-2633
Phone (912) 352-3997

National Provider Directory

National Provider Directory

Locations

415 Eisenhower Dr
Ste 4
Savannah, GA 31406
Phone (912) 352-3997

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1184704785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EISENHOWER DR STE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062633",
            "telephone_number": "912-352-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EISENHOWER DR",
            "address_2": "SUITE 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062633",
            "telephone_number": "912-352-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "912-352-3997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.