Individual provider Active NPI

Kaye C Bryan, OD

  • Optometrist
  • Albany, GA
National Provider Identifier
1205944121
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1268 Issued in GA
Practice address
2809 Old Dawson Road
Albany, GA 31707
Phone
(229) 888-3937
Fax
(229) 888-6369
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1268 GA Primary

Addresses

Primary practice location

2809 Old Dawson Road
Albany, GA 31707

Mailing address

2809 Old Dawson Road
Albany, GA 31707
Phone (229) 888-3937

Other identifiers 2

IdentifierTypeStateIssuer
000621376AMedicaidGA
1255363024OtherGAOFFICE NPI NUMBER

Other names 1

  • Dr. Patricia K Collier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000061 GA Practitioner - Optometry 1355514571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1205944121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLD DAWSON ROAD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-888-3937",
            "fax_number": "229-888-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLD DAWSON ROAD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-888-3937",
            "fax_number": "229-888-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KAYE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000621376A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE NPI NUMBER",
            "identifier": "1255363024",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "COLLIER",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.