Active NPI
B.Dean Mobley, O.D., P.C.
Doing business as Mobley Eye Care
- Optometrist
- Austell, GA
National Provider Identifier
1194995175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000912
- Legal business name
- B.DEAN MOBLEY, O.D., P.C.
- Doing business as
- Mobley Eye Care
- Practice address
- 3999 Austell Rd
Suite 1002
Austell, GA 30106-1100 - Phone
- (770) 941-2323
- Fax
- (770) 941-9220
- NPI assigned
- Mar 6, 2008
- Last updated
- Aug 6, 2011
- 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
- Angel Haynes
- Title
- Office Manager
- Phone
- (770) 941-2323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000912 | GA | Primary |
Addresses
Primary practice location
3999 Austell Rd
Suite 1002
Austell, GA 30106-1100
Mailing address
3999 Austell Rd
Suite 1002
Austell, GA 30106-1100
Phone (770) 941-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00214629A | Medicaid | GA |
Other names 1
- MOBLEY EYE CARE
National Provider Directory
National Provider DirectoryLocations
2345 E West Connector
#1010
Austell, GA 30106
Phone (770) 941-2323
3999 Austell Rd
Ste 1002
Austell, GA 30106
Phone (770) 941-2323
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Canton, GA
- NPI 1013172238
-
- Optometrist
- Acworth, GA
- NPI 1497981898
-
- Optometrist
- Acworth, GA
- NPI 1609801323
-
- Optometrist
- Atlanta, GA
- NPI 1871117879
-
- Optometrist
- Brookfield, CT
- NPI 1558666289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312588800000",
"number": "1194995175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3999 AUSTELL RD",
"address_2": "SUITE 1002",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061100",
"telephone_number": "770-941-2323",
"fax_number": "770-941-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 AUSTELL RD",
"address_2": "SUITE 1002",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061100",
"telephone_number": "770-941-2323",
"fax_number": "770-941-9220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B.DEAN MOBLEY, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2011-08-06",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-941-2323"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00214629A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOBLEY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.