Redus Optometry Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001566 Issued in GA

Legal business name

REDUS OPTOMETRY CLINIC LLC

Practice address

3507 Manchester Expy
#92
Columbus, GA 31909

Phone

(706) 327-0111

Fax

(706) 327-4980

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Michael J Redus, OD

Title

Sole MBR

Phone

(706) 327-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306369806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 MANCHESTER EXPY",
            "address_2": "#92",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-327-0111",
            "fax_number": "706-329-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 MANCHESTER EXPY",
            "address_2": "#92",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-327-0111",
            "fax_number": "706-327-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDUS OPTOMETRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REDUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "706-327-0111",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Redd
• Asia M Reddick
• Carla L Reddick
• Alma Deaton Redding, PHARM.D.
• Christopher S Reddoch, M.D.
• Kischa Sedonna Reed, PT
• Phillip Carlton Reed Jr.
• Shelley Willetts Reed, CAC II, SAM
• Terra Reed
• Lydia Marie Reeder

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.