Organization Active NPI

Prchal and Prchal, P.C.

Doing business as Albany Eye Care

  • Optometrist
  • Albany, GA
National Provider Identifier
1255363024
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
890T Issued in GA
Legal business name
PRCHAL AND PRCHAL, P.C.
Doing business as
Albany Eye Care
Practice address
2809 Old Dawson Rd
Albany, GA 31707-1513
Phone
(229) 888-3937
Fax
(229) 888-6369
NPI assigned
Jul 6, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Gerald J Prchal, O.D.NPI 1770691693
Title
Ceo/Owner
Phone
(229) 888-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 890T GA Primary
Optometrist 152W00000X 1268 GA
Optometrist 152W00000X 2305 GA

Addresses

Primary practice location

2809 Old Dawson Rd
Albany, GA 31707-1513

Mailing address

2809 Old Dawson Rd
Albany, GA 31707-1513
Phone (229) 888-3937

Other identifiers 4

IdentifierTypeStateIssuer
000187712CMedicaidGA
000621376AMedicaidGA
1255363024OtherGAOFFICE NPI NUMBER
392334055AMedicaidGA

Other names 1

  • Albany Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000937 GA Part B Supplier - Clinic/Group Practice 3779578422 Receives reassigned benefits from 3 practitioners
Practice locations: Albany, GA; Camilla, GA

National Provider Directory

National Provider Directory

Locations

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

26 S Scott St
Camilla, GA 31730
Phone (229) 330-3937

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1255363024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLD DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071513",
            "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 RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071513",
            "telephone_number": "229-888-3937",
            "fax_number": "229-888-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRCHAL AND PRCHAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "PRCHAL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "229-888-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "890T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1268",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000187712C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000621376A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE NPI NUMBER",
            "identifier": "1255363024",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392334055A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.