Active NPI
Terrell Optical Inc.
- Optician
- Rome, GA
National Provider Identifier
1194946020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- TERRELL OPTICAL INC.
- Practice address
- 2110 Shorter Ave NW
Rome, GA 30165-2018 - Phone
- (706) 291-7842
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Terrell
- Title
- Owner
- Phone
- (706) 291-7842
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2110 Shorter Ave NW
Rome, GA 30165-2018
Mailing address
2110 Shorter Ave NW
Rome, GA 30165-2018
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194946020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 SHORTER AVE NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 SHORTER AVE NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652018",
"telephone_number": "706-291-7842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRELL OPTICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-291-7842",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.