Organization Active NPI

Columbus Eye Associates, P.C.

  • Prosthetic/Orthotic Supplier
  • Columbus, GA
National Provider Identifier
1316004021
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
GA1821 Issued in GA
Legal business name
COLUMBUS EYE ASSOCIATES, P.C.
Practice address
109 12TH St
Columbus, GA 31901-5245
Phone
(706) 322-5528
Fax
(706) 322-6559
NPI assigned
Jan 2, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Brian Edward Kurtz, O.D.
Title
President Owner
Phone
(706) 322-5528

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X GA1821 GA
Prosthetic/Orthotic Supplier 335E00000X GA1821 GA Primary

Addresses

Primary practice location

109 12TH St
Columbus, GA 31901-5245

Mailing address

109 12TH St
Columbus, GA 31901-5245
Phone (706) 322-5528

Other identifiers 1

IdentifierTypeStateIssuer
410006834OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

109 12th St
Columbus, GA 31901
Phone (706) 322-5528

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316004021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 12TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319015245",
            "telephone_number": "706-322-5528",
            "fax_number": "706-322-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 12TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319015245",
            "telephone_number": "706-322-5528",
            "fax_number": "706-322-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "706-322-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "GA1821",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "GA1821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410006834",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.