Organization Active NPI

Center for Sight PC

  • Ophthalmology Physician
  • Conyers, GA
National Provider Identifier
1366519944
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
023487 Issued in GA
Legal business name
CENTER FOR SIGHT PC
Practice address
1400 Wellbrook Cir NE
Ste 100
Conyers, GA 30012-3825
Phone
(770) 922-2201
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Philip E Newman, MDNPI 1760485791
Title
President
Phone
(770) 922-2201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 023487 GA Primary

Addresses

Primary practice location

1400 Wellbrook Cir NE
Ste 100
Conyers, GA 30012-3825

Mailing address

1400 Wellbrook Cir NE
Ste 100
Conyers, GA 30012-3825
Phone (770) 922-2201

Other identifiers 3

IdentifierTypeStateIssuer
133427617OtherPENS SS#
00248487FMedicaidGA
55002348AMedicaidGA

Other names 2

  • Center For Sight Doing business as
  • Center For Sight Optical Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philipn@centerforsightconyers.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419001002 GA Part B Supplier - Clinic/Group Practice 3971598970 Receives reassigned benefits from 2 practitioners
Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Locations

1400 Wellbrook Cir NE
Ste 100
Conyers, GA 30012
Phone (404) 922-2201

Practitioners & affiliated clinicians

Practitioners 2

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1366519944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WELLBROOK CIR NE",
            "address_2": "STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123825",
            "telephone_number": "770-922-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WELLBROOK CIR NE",
            "address_2": "STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123825",
            "telephone_number": "770-922-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SIGHT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-922-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "023487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENS SS#",
            "identifier": "133427617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00248487F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55002348A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philipn@centerforsightconyers.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Secure EMR Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1400 Wellbrook Cir NE",
            "address_2": "Ste 100",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300123825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Center For Sight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center For Sight Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.