NPIMap

Organization Active NPI

Avalon Vision Center Inc

  • Optometrist
  • McDonough, GA
National Provider Identifier
1366854150
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001919 Issued in GA
Legal business name
AVALON VISION CENTER INC
Practice address
1042 Avalon Parkway
McDonough, GA 30253
Phone
(770) 898-7078
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Dr. Scot M Werner, O.D.
Title
President
Phone
(770) 898-7078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001919 GA Primary

Addresses

Primary practice location

1042 Avalon Parkway
McDonough, GA 30253

Mailing address

950 Eagles Landing Pkwy
Suite 299
Stockbridge, GA 30281-7343

National Provider Directory

National Provider Directory

Locations

1042 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1366854150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY",
            "address_2": "SUITE 299",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 AVALON PARKWAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "770-898-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-898-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.