McDonough Vision Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000897 Issued in GA

Legal business name

MCDONOUGH VISION CARE LLC

Practice address

183 Keys Ferry St
Suite a
McDonough, GA 30253-3232

Phone

(770) 957-6611

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James E. Adams Jr., O.D.

Title

President

Phone

(770) 957-6611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346340627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 KEYS FERRY ST",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533232",
            "telephone_number": "770-957-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 KEYS FERRY ST",
            "address_2": "SUITE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533232",
            "telephone_number": "770-957-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-957-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52150230",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valrie McDowell Gunn
• Charlie Lewis McDowell
• Felicia McDowell
• John Authur McDowell Jr., PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.