NPIMap

Organization Active NPI

North Georgia Vision Center Inc

  • Optician
  • Rock Spring, GA
National Provider Identifier
1285732115
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001527 Issued in GA
Legal business name
NORTH GEORGIA VISION CENTER INC
Practice address
8390 N Highway 27
Rock Spring, GA 30739-2103
Phone
(706) 375-1720
Fax
(706) 375-1729
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Linette Anice Yarborough, LDONPI 1619547098
Title
Optician
Phone
(706) 375-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X LDO001527 GA Primary

Addresses

Primary practice location

8390 N Highway 27
Rock Spring, GA 30739-2103

Mailing address

8390 N Highway 27
Rock Spring, GA 30739-2103
Phone (706) 375-1720

Other identifiers 2

IdentifierTypeStateIssuer
152923602AMedicaidGA
LDO001527OtherGADISPENSING OPTICIAN

National Provider Directory

National Provider Directory

Locations

8390 N Highway 27
Rock Spring, GA 30739
Phone (706) 375-1720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1285732115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 N HIGHWAY 27",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307392103",
            "telephone_number": "706-375-1720",
            "fax_number": "706-375-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 N HIGHWAY 27",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307392103",
            "telephone_number": "706-375-1720",
            "fax_number": "706-375-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "YARBOROUGH",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_middle_name": "ANICE",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "706-375-1720",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152923602A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISPENSING OPTICIAN",
            "identifier": "LDO001527",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Spring, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.