Premier Geriatric Eyecare Incorporated

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001088 Issued in GA

Legal business name

PREMIER GERIATRIC EYECARE INCORPORATED

Practice address

7147 Avalon Dr
Douglasville, GA 30135-5626

Phone

(770) 577-9748

Fax

(770) 577-9748

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By 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

Dr. Michael E Richards, O.D.

Title

Ceo

Phone

(770) 577-9748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1396020087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 AVALON DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355626",
            "telephone_number": "770-577-9748",
            "fax_number": "770-577-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7147 AVALON DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355626",
            "telephone_number": "770-577-9748",
            "fax_number": "770-577-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GERIATRIC EYECARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-577-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Practitoners Community Care
• Cindy Pratt, MD
• Precious Hearts Transportation, LLC
• Preferred Private Home Care LLC
• Premier Drugstore LLC (Premier Drugstore)
• Premier Healthcare Solutions
• Premise Health of Georgia Medical, P.C. (City of Douglasville)
• Marcia Anne Prescott, PHD
• Presley Home Care LLC
• Prestige Learning Academy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.