Organization Active NPI

Dalton Eye Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dalton, GA
National Provider Identifier
1306035936
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LDO2049 Issued in GA
Legal business name
DALTON EYE CENTER, LLC
Practice address
1510 N Thornton Ave
Suite 210
Dalton, GA 30720-8517
Phone
(706) 277-2077
Fax
(706) 277-2021
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mrs. Kimberly L Bates, LDO
Title
Owner
Phone
(706) 277-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LDO2049 GA Primary

Addresses

Primary practice location

1510 N Thornton Ave
Suite 210
Dalton, GA 30720-8517

Mailing address

1510 N Thornton Ave
Suite 210
Dalton, GA 30720-8517
Phone (706) 277-2077

National Provider Directory

National Provider Directory

Locations

1510 N Thornton Ave
Ste 210
Dalton, GA 30720
Phone (706) 277-2077

Practitioners & affiliated clinicians

Practitioners 1

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1306035936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N THORNTON AVE",
            "address_2": "SUITE 210",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208517",
            "telephone_number": "706-277-2077",
            "fax_number": "706-277-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N THORNTON AVE",
            "address_2": "SUITE 210",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208517",
            "telephone_number": "706-277-2077",
            "fax_number": "706-277-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-277-2077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "LDO2049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.