Active NPI
Dalton Family Eyecare, Inc.
- Optometrist
- Cleveland, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DALTON FAMILY EYECARE, INC.
- Practice address
- 1801 Highway 129 S
Cleveland, GA 30528-7180 - Phone
- (706) 219-4444
- NPI assigned
- May 1, 2007
- Last updated
- Apr 25, 2024
- 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
- Calvin D Dalton
- Title
- Owner
- Phone
- (706) 219-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1801 Highway 129 S
Cleveland, GA 30528-7180
Mailing address
1801 Highway 129 S
Cleveland, GA 30528-7180
Phone (706) 219-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348259969A | Medicaid | GA | |
| 621628466A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2034626 | Dalton Family Eyecare | Certificate of waiver | Dec 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
21 Legacy Pt
Clayton, GA 30525
Phone (706) 782-3535
1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444
Practitioners & affiliated clinicians
Practitioners 20
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.
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- Cleveland, GA
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- Optometrist
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- NPI 1598576647
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NPI 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": "1714003200000",
"number": "1194946905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 HIGHWAY 129 S",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305287180",
"telephone_number": "706-219-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HIGHWAY 129 S",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305287180",
"telephone_number": "706-219-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALTON FAMILY EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "CALVIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-219-4444"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348259969A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621628466A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.