Organization Active NPI

Cobb Eye Center, LLP

  • Ophthalmology Physician
  • Dallas, GA
National Provider Identifier
1265587059
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COBB EYE CENTER, LLP
Practice address
290 Merchants SQ
Suite I
Dallas, GA 30132-0987
Phone
(770) 445-8885
Fax
(770) 445-8540
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Ms. Una M. Feltner
Title
Administrator
Phone
(770) 425-1341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

290 Merchants SQ
Suite I
Dallas, GA 30132-0987

Mailing address

130 Vann St NE
Suite 230
Marietta, GA 30060-7230
Phone (770) 425-1341

Other identifiers 1

IdentifierTypeStateIssuer
CB0852OtherGAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

1660 Mulkey Rd
Ste A
Austell, GA 30106
Phone (770) 425-1341

290 Merchants Sq
Ste 1
Dallas, GA 30132
Phone (770) 445-8885

130 Vann St NE
#852
Marietta, GA 30060

130 Vann St NE
Ste 230
Marietta, GA 30060
Phone (404) 425-1341

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1265587059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 VANN ST NE",
            "address_2": "SUITE 230",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607230",
            "telephone_number": "770-425-1341",
            "fax_number": "770-428-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MERCHANTS SQ",
            "address_2": "SUITE I",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320987",
            "telephone_number": "770-445-8885",
            "fax_number": "770-445-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB EYE CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "FELTNER",
        "authorized_official_first_name": "UNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-425-1341",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB0852",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

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