Organization Active NPI

Stay Focused Eyecare

  • Eyewear Supplier
  • Brunswick, GA
National Provider Identifier
1295993756
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
684 Issued in GA
Legal business name
STAY FOCUSED EYECARE
Practice address
120 Commerce Dr
Brunswick, GA 31525-1890
Phone
(912) 262-0770
Fax
(912) 264-4673
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Ms. Lyndie H Davis
Title
Office Manager
Phone
(912) 262-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 684 GA Primary

Addresses

Primary practice location

120 Commerce Dr
Brunswick, GA 31525-1890

Mailing address

120 Commerce Dr
Suite 100
Brunswick, GA 31525-1890
Phone (912) 262-0770

Other identifiers 1

IdentifierTypeStateIssuer
000003803AMedicaidGA

National Provider Directory

National Provider Directory

Locations

120 Commerce Dr
Ste 100
Brunswick, GA 31525
Phone (912) 262-0770

120 Commerce Dr
Brunswick, GA 31525
Phone (912) 262-0770

1400 Newcastle St
Brunswick, GA 31520
Phone (912) 262-0770

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1295993756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251890",
            "telephone_number": "912-262-0770",
            "fax_number": "912-264-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COMMERCE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251890",
            "telephone_number": "912-262-0770",
            "fax_number": "912-264-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY FOCUSED EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LYNDIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-262-0770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003803A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.