Active NPI
Stay Focused Eyecare
- Eyewear Supplier
- Brunswick, GA
National Provider Identifier
1295993756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 684
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000003803A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.