Brian Robert Healey, O.D.
Individual provider Active NPI Optometrist · Eatonton, GA
NPI 1215096557 · NPPES record last updated Jul 5, 2008
Key facts
- NPI
- 1215096557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1757 (GA)
- Practice address
- 109 Harmony Xing
Ste 5
Eatonton, GA 31024-9525 - Phone
- (706) 484-2121
- Fax
- (706) 484-2148
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- East Georgia Eyecare, LLC
Practice addresses (Care Compare)
1192 Dogwood Dr SE
Conyers, GA 30012-5454
Phone (770) 860-1919
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080805000012 | GA | Practitioner - Optometry | 5092889352 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneopto Ga 2 PLLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1757 | GA | Yes |
Addresses
Primary practice location
109 Harmony Xing
Ste 5
Eatonton, GA 31024-9525
Mailing address
330 Nicklaus Cir
Social Circle, GA 30025-5341
Phone (678) 625-7173
Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.