Todd McGeorge O.D.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1298DT Issued in KY

Legal business name

TODD MCGEORGE O.D.

Doing business as

Clear Vision Eyecare

Practice address

2131 Cumberland Ave
Middlesboro, KY 40965-2830

Phone

(606) 242-2278

Fax

(606) 242-2270

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Todd Marvin McGeorge, O.D.

Title

Owner

Phone

(606) 242-2278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clear Vision Eyecare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Albert K. Holmes, M.D.

  • Ophthalmology Physician
  • Knoxville, TN
  • NPI 1720060676
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1215111612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652830",
            "telephone_number": "606-242-2278",
            "fax_number": "606-242-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652830",
            "telephone_number": "606-242-2278",
            "fax_number": "606-242-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD MCGEORGE O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MCGEORGE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-242-2278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "1298DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901155",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Vision Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Phoenix House LLC
• The Pod Inclusive Counseling Center, LLC
• Aaron Thomas, MS, HIS
• Robert Lee Thomas IV, MD
• Timothy L. Gardner, DPM,PC
• Todds LTC Pharmacy PLLC
• Cordell W Tolliver, DMD
• Tri State Medical Clinic Inc
• Tri-State Centers for Sight Inc
• Tri-State Familycare, Inc

• Eyewear Supplier in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.