Nobleod LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT0012119 Issued in GA

Legal business name

NOBLEOD LLC

Practice address

4850 Golden Pkwy Ste. B #175
Buford, GA 30518-5842

Phone

(770) 815-8629

NPI assigned

Jun 19, 2013

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Dexter Noble Jr., ODNPI 1750471215

Title

Owner

Phone

(770) 815-8629

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Noble, OD

  • Optometrist
  • Buford, GA
  • NPI 1750471215
  NPD (past) Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1366881716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GOLDEN PKWY STE. B #175",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185842",
            "telephone_number": "770-815-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 GOLDEN PKWY STE. B #175",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185842",
            "telephone_number": "770-815-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLEOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "DEXTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-815-8629",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT0012119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.