Chambless Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1097 Issued in GA

Legal business name

CHAMBLESS EYE CARE LLC

Practice address

6501 Peake Rd
Building 1200
Macon, GA 31210-8042

Phone

(478) 405-7474

Fax

(478) 405-7475

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell H Chambless, ODNPI 1396968566

Title

Owner

Phone

(478) 405-7474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Russell Chambless, OD

  • Optometrist
  • Macon, GA
  • NPI 1396968566
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1235412677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BUILDING 1200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-405-7474",
            "fax_number": "478-405-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 PEAKE RD",
            "address_2": "BUILDING 1200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108042",
            "telephone_number": "478-405-7474",
            "fax_number": "478-405-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBLESS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBLESS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-405-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Watson Cespdes, LPC, ACS
• CH Simco (Interim HealthCare of Central Georgia)
• Megan E Chakey, MED, BCBA, LBA
• Sarah Chaloult
• Dorothy Chambers, LPC
• Cynthia Blair Chambless, MD
• Russell Chambless, OD
• Daniel S Chan, MD
• Maitri Surinder Prakash Chand, PHD
• Julie W Chandler, RN

• Optometrist in Macon, GA
• Providers in Macon, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.