Individual provider Active NPI

Richard Eisner, M.D.

  • Ophthalmology Physician
  • Macon, GA
National Provider Identifier
1255598959
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42238 Issued in GA
Practice address
125 Plantation Centre Dr
Suite 250
Macon, GA 31210-2079
Phone
(478) 405-2020
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42238 GA Primary

Addresses

Primary practice location

125 Plantation Centre Dr
Suite 250
Macon, GA 31210-2079

Mailing address

125 Plantation Centre Dr
Suite 250
Macon, GA 31210-2079
Phone (478) 405-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815000272 GA Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 7315231362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42238GAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1255598959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR",
            "address_2": "SUITE 250",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-405-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR",
            "address_2": "SUITE 250",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-405-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "42238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.