Organization Active NPI

Wilkes Eye Center, LLC

Doing business as Wilkes Eye Center

  • Optometrist
  • Washington, GA
National Provider Identifier
1225616543
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WILKES EYE CENTER, LLC
Doing business as
Wilkes Eye Center
Practice address
23 East SQ
Washington, GA 30673-1517
Phone
(706) 678-4421
Fax
(706) 678-3933
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Shannon Chavez
Title
Office Manager
Phone
(706) 401-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

23 East SQ
Washington, GA 30673-1517

Mailing address

23 East SQ
Washington, GA 30673-1517
Phone (706) 678-4421

Other names 1

  • Wilkes Eye Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1225616543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EAST SQ",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731517",
            "telephone_number": "706-678-4421",
            "fax_number": "706-678-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EAST SQ",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731517",
            "telephone_number": "706-678-4421",
            "fax_number": "706-678-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-401-9600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.