Depoe Management, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001305 Issued in GA

Legal business name

DEPOE MANAGEMENT, LLC

Practice address

550 Eagles Landing Pkwy
Suite 208
Stockbridge, GA 30281-9081

Phone

(770) 474-1237

Fax

(770) 474-5224

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Adam T. Depoe, O.D.

Title

Owner

Phone

(770) 474-1237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1265748222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY",
            "address_2": "SUITE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819081",
            "telephone_number": "770-474-1237",
            "fax_number": "770-474-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY",
            "address_2": "SUITE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819081",
            "telephone_number": "770-474-1237",
            "fax_number": "770-474-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPOE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "DEPOE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-474-1237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.